简介: [摘要 ] 目的 探讨风险管理在肝病患者护理中的应用效果。方法 选取 134例于 2018年 1月— 2020年 1月在该院接受治疗的肝病患者為研究对象,依护理方法不同分为对照组和研究组,于住院期间给予对照组常规护理,研究组风险管理护理,比较两组患者护理质量与护理风险事件发生情况。结果 研究组患者各项护理质量指标评分均明显高于对照组,组间比较差异有统计学意义( P<0.05) ;研究组患者护理风险事件的发生率为 1.49%,明显低于对照组的 13.43%,组间比较差异有统计学意义( P<0.05)。结论 针对肝病患者,于护理过程当中给予风险管理可有效提高护理质量,降低护理风险事件的发生率,取得良好护理效果,值得在临床当中推广应用。 [关键词 ] 肝病 ;护理 ;风险管理 [Abstract] Objective To explore the effect of risk management in the nursing of patients with liver disease. Methods 134 patients with liver disease who were treated in the hospital from January 2018 to January 2020 were selected as the research objects. According to different nursing methods, they were divided into control group and research group. During hospitalization, they were given routine nursing in the control group and risk management nursing in the research group. The quality of nursing and the occurrence of nursing risk events in the two groups were compared. Results the scores of nursing quality indexes in the study group were significantly higher than those in the control group, and the difference between the two groups was statistically significant (P < 0.05); the incidence of nursing risk events in the study group was 1.49%, significantly lower than 13.43% in the control group, and the difference between the two groups was statistically significant (P < 0.05). Conclusion for patients with liver disease, risk management in the nursing process can effectively improve the quality of nursing, reduce the incidence of nursing risk events, and achieve good nursing effect, which is worthy of clinical application.
简介:摘要:重症肝病患者由于肝功能严重障碍 , 机体免疫功能低下 , 对感染应激能力下降 , 病程中易发生医院感染 , 而各种感染又进一步加重病情 , 直接影响患者的临床转归。综述了重症肝病患者医院感染的临床特点及危险因素。
简介:摘要:目的观察肝病合并糖尿病患者的临床特点及护理效果。方法随机选取该院 2017年 4月— 2019年 4月收治的肝病合并糖尿病患者共 80例,将患者分为研究组和对比组 两组,每组 40例,对比组 实施常规护理,研究组在对比组 基础上对患者实施人性化护理。观察和对比分析两组患者护理前后空腹血糖和餐后 2h血糖值的变化情况。结果护理实施后研究组患者血糖控制效果比对比组 更好( P<0.05)。且研究组患者的舒适程度提升情况明显要比对比组更优( P<0.05)。结论对于肝病合并糖尿病患者而言,对患者实施更加具有针对性特点的人性化护理模式能够更好地控制患者的血糖,促使患者生活质量显著提升。
简介:摘要:目的 文章主要针对 在肝病患者护理中应用人性化护理 进行分析研究 ,针对其临床应用效果与作用进行分析。方法此次研究纳入的肝病患者一共有 80 例,均于 2018 年 8 月~ 2019 年 8 月期间在本院就诊。患者治疗方案一致,分组实施不同的同步护理,一组为常规护理组,配合实施常规护理,另一组为人性化护理组,联合实施人性化护理,两组患者数量均为 40 例。结果测评结果显示两组护理前生活质量基本相当, SCRQ 评估得分组间比较显示 P > 0.05 。护理后人性化护理组 SCRQ 评估得分明显低于常规护理组, P < 0.05 。调查结果显示,常规护理组对护理工作表示满意或基本满意的病例数为 33 例,不满意者 7 例,总满意率 82.50% ,人性化护理组满意或基本满意的病例数为 38 例,不满意者 2 例,总满意率 95.00% ,较常规护理组存在明显优势, P < 0.05 。结论在肝病患者护理中应用人性化护理措施效果十分显著。
简介:摘要目的探讨腹膜透析治疗终末期肾病(ESRD)伴有慢性肝病患者的临床效果。方法选取2014年8月至2019年5月河南宏力医院肾内科收治的30例ESRD伴有慢性肝病患者,男13例,女17例,年龄(49.33±11.06)岁,年龄范围为27~69岁,根据透析方式不同将其分为维持性血液透析(MHD)组(n=16)与持续非卧床腹膜透析(CAPD)组(n=14)。分别检测两组患者透析前后的各项指标,包括24 h尿量、肾小球滤过率、血尿素、血肌酐、血红蛋白、血钙、血磷、甲状旁腺素、血清白蛋白、C反应蛋白、碳酸氢盐及凝血酶时间并比较两组患者并发症,包括消化道出血、皮下出血、低血压、心力衰竭、腹膜炎的发生情况。结果两组患者透析前各临床指标比较,差异均无统计学意义(P>0.05)。透析6个月后CAPD组24 h尿量[(1 257.14±479.93)ml]、肾小球滤过率[(6.65±1.73)ml/min]、血红蛋白[(110.98±12.36)g/L]、血钙[(2.20±0.18)mmol/L]、碳酸氢盐[(25.34±2.63)mmol/L]均高于MHD组[(734.38±252.14)ml、(5.54±0.62)ml/min、(93.42±6.39)g/L、(1.96±0.16)mmol/L、(20.51±2.53)mmol/L];血磷[(1.45±0.23)mmol/L]、甲状旁腺素[(232.26±106.93)pg/ml]、C反应蛋白[(0.66±0.47)mg/L]均显著低于MHD组[(1.80±0.40)mmol/L、(329.93±190.79)pg/ml、(4.08±1.88)mg/L],差异均有统计学意义(P<0.05);血尿素、血肌酐、血清白蛋白、凝血酶时间低于MHD组,但差异无统计学意义(P>0.05)。透析6个月后MHD组消化道出血8例,CAPD组2例;MHD组皮下出血9例,CAPD组0例;MHD组低血压9例,CAPD组1例,两组比较,差异均有统计学意义(P<0.05)。MHD组心力衰竭3例,CAPD组2例;MHD组腹膜炎2例,CAPD组2例,两组比较,差异无统计学意义(P>0.05)。结论腹膜透析治疗ESRD伴有慢性肝病患者效果好,并发症少,可作为此类患者优先考虑的透析方式。
简介:【摘要】目的:分析酒精性肝病患者的心理特点及临床护理方式。方法:将2018年1月至2019年10月于本院就诊的70例酒精性肝病患者视为研究主体,根据其入院编号划入干预组与参照组(n=35)。参照组实施常规护理,干预组在分析患者心理特点的基础上,实施针对性护理,比较患者的遵医率及生活质量。结果:参照组患者的遵医率是77.14%,干预组患者的遵医率是97.14%,干预组患者的遵医率较高(p<0.05)。干预组患者的生理职能、躯体疼痛、精神健康及一般健康状况评分均高于参照组患者,差距对比有统计学意义(p<0.05)。结论:酒精性肝病患者多具有不同程度的焦虑、抑郁心理,对其实施针对性护理干预,可缓解患者不良情绪,提升患者的遵医率及生活质量。
简介: 摘要:目的:分析血清检验指标改变对甲亢性肝病患者的临床价值。方法:随机选择我院自 2018年 12月至 2019年 5月收治的 60例甲亢性肝病患者与同时期时段收治的甲亢患者 60例作为研究目标,将前者作为观察组、后者作为对照组。所有患者均应用血清检验,分析两组血清检验指标结果、肛功能五项指标。结果:血清检验指标结果、、肛功能五项指标对比显示观察组高于对照组( P<0.05)。结论:甲亢性肝病患者机体内的分泌水平明顯高于甲亢患者,其会影响患者正常的体能代谢,从而引发多种并发症。通过血清检验指标的改变,可提高甲亢性肝病的诊断效果,为临床诊治提供有利的参考依据,从而提高治疗效果,降低不可逆肝损伤发生几率,临床应用价值较高,值得推广。 关键词:血清检验指标;甲亢性肝病;应用价值 Abstract: Objective: to analyze the clinical value of the change of serum test index in patients with hyperthyroid liver disease. Methods: 60 patients with hyperthyroid liver disease admitted from December 2018 to may 2019 and 60 patients with hyperthyroid liver disease admitted in the same period were randomly selected as the research objectives, the former as the observation group and the latter as the control group. Serum test was used in all patients. The results of serum test and anal function were analyzed. Results: the results of serum test, anal function and five indexes of the observation group were higher than those of the control group (P < 0.05). Conclusion: the level of secretion in patients with hyperthyroid liver disease is significantly higher than that in patients with hyperthyroid liver disease, which will affect the normal physical metabolism of patients and lead to a variety of complications. Through the change of serum test index, the diagnosis effect of hyperthyroid liver disease can be improved, which can provide beneficial reference for clinical diagnosis and treatment, so as to improve the treatment effect, reduce the incidence of irreversible liver injury, and have high clinical application value, which is worth popularizing.
简介: [摘要 ] 目的 探讨人性化护理管理在肝病患者护理管理中的应用效果。方法 选取 2017年 1月— 2019年 8月 116例肝病患者,将其随机分为两组,每组 58例,对照组采用常规护理管理,观察组在此基础上采用人性化护理管理,参与研究的 40名护士随机分入两组,每组 20名,比较应用效果。结果 观察组护士护理质量评分高于对照组,患者护理满意度( 96.55%)高于对照组( 84.48%)( P<0.05)。结论 在肝病患者护理管理中应用人性化护理管理可有效提高护理质量,提升护理满意度。 [关键词 ] 人性化护理管理 ;肝病 ;护理质量 [Abstract] Objective To explore the application effect of humanized nursing management in the nursing management of liver disease patients. Methods from January 2017 to August 2019, 116 patients with liver disease were randomly divided into two groups, 58 in each group. The control group was treated with routine nursing management, and the observation group was treated with humanized nursing management. 40 nurses participating in the study were randomly divided into two groups, 20 in each group, with better effect. Results the nursing quality score of the observation group was higher than that of the control group, and the nursing satisfaction of the patients (96.55%) was higher than that of the control group (84.48%) (P < 0.05). Conclusion the application of humanized nursing management in the nursing management of liver disease patients can effectively improve the quality of nursing and improve the satisfaction of nursing.