摘要
目的分析预见性护理在抢救肝炎并发肝昏迷患者中的临床价值,完善预见性护理的方式方法,进而提升目前护理水平,为日后护理工作提供理论依据。方法选取自2011年4月—2015年4月收治的64例肝炎并肝昏迷患者,将其按随机数字表法分为对照组和观察组,每组各32例,2组在年龄、病种以及性别等方面差异无统计学意义,具有可比性(P>0.05)。对照组采用常规护理,观察组在常规护理基础上同时采取预见性护理,包括建立预见性护理意识,氮源控制,及对各种并发症的预防措施以确保患者状态良好。比较2组患者在昏迷时间、死亡人数、并发症发生例数方面的差异。结果观察组的昏迷时间为(3.02±1.13)d,死亡3人,发生并发症2人,对照组昏迷时间(7.56±1.84)d,死亡7人,发生并发症12人。观察组患者的昏迷时间、死亡人数、并发症发生例数均优于对照组,差异具有统计学意义(P<0.05)。结论在肝炎并发肝昏迷患者的抢救过程中,应用预见性护理能够有效提高护理效果,缩短昏迷时间,降低病死率以及并发症发生率,效果显著,值得在临床推广应用。
Objective To analyze the clinical effect of predictive nursing in the treatment of patients with hepatitis and hepatic coma,improve the methods of predictive nursing to promote nursing degree to provide evidence in future work.Methods The 64 cases of hepatitis and hepatic coma patients from Apr. 2011 to Apr. 2015 were divided into study group and controlled group by random number method. There were no difference between ages,disease,gender（ P〈0. 05）. The controlled group was treated with common nursing,the study group was treated with predictive nursing based on common nursing,including establishing predictive nursing awareness,controlling nitrogen source and preventing complication to ensure patients in good condition. The coma duration,death,incidence of complications of these two groups were compared. Results The coma duration of study group was（ 3. 02 ± 1. 13） d,and there were 3 deaths and 2 incidence of complication. The coma duration of controlled group was（ 7. 56 ± 1. 84） d,and there were 7 deaths and 12 incidence of complication. The coma duration,death,incidence of complications of study group were all better than controlled group（ P〈0. 05）. Conclusion Treating patients with hepatitis and hepatic coma with predictive nursing can improve clinical effect,short coma duration,decrease rate of death and incidence of complication with better effect to extend in clinic.
出处
《中华全科医学》
2016年第3期496-497,500,共3页
Chinese Journal of General Practice
关键词
预见性护理
肝炎并肝昏迷
临床价值
Predictive nursing
Hepatitis and hepatic coma
Clinical effect
