优质护理服务模式对肝硬化并发肝性脑病患者预后的影响-论文.pdf

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1、132JBengbuMedColl，January2014，Vo1．39，No．1[文章编号]1000．2200(2014)ol_o132-03·护理学·优质护理服务模式对肝硬化并发肝性脑病患者预后的影响金俐。王丽，蒋锦，朱婷婷，单芳静[摘要]目的：探讨实施优质护理服务模式对肝硬化并发肝性脑病(hepaticencephalopathy，HE)患者预后的影响。方法：将以HE为主要临床症状的57例患者随机分为2组，对照组31例给予HE常规护理，干预组26例在对照组基础上实施优质护理服务模式，即实施提前落实告知

2、义务、心理疏导及安全防范教育、预见性护理评估及预防措施、健康教育、出院指导、健康随访等护理干预措施。比较2组护理满意度及预后(治疗好转率和恶化病死率)情况。结果：干预组治疗好转21例，恶化病死5例；对照组治疗好转17例，恶化病死14例；干预组治疗好转率高于对照组(P<0．05)。结论：实施优质护理服务模式对融洽护患关系、增加患者满意度、改善HE患者的预后、提高其生存质量起到非常关键的作用。[关键词]肝性脑病；护理干预；肝硬化[中国图书资料分类法分类号]R575．3[文献标志码]ARoleofhighqual

3、itynursingserviceintheprognosisofpatientswithlivercirrhosiscomplicatedbyhepaticencephalopathyJINLi，WANGLi，JIANGJin，ZHUTing—ting，SHANFang-jing(DepartmentofDigestion，TheFirstAffiliatedHospitalofBengbuMedicalCollege，BengbuAnhui233004，China)[Abstract]Objective

4、：Toexploretheinfluenceofhighqualitynursingservicemodeontheprognosisofpatientswithlivercirrhosiscombinedwithhepaticencephalopathy(HE)．Methods：Fihy—sevenpatientswiththeclinicalsymptomsofHEwererandomlydividedinto2groups．Thirty—onecasesinthecontrolgroupreceive

5、dtheroutinecareand26casesinthetreatmentgroupweregivenhighqualitynursingserviceinadditiontotheroutinecareofHE，whichistheimplemenationofnursingeareinterventionsincludingtheolutytoinformaheadoftime，psychologicalcounseling，securityeducationpreolictivecareasses

6、smentandprevention，dischangequidance，andanumberofpost—dischargeservicessuchashealtheducationandfollow—up．Thesatisfactiondegreeandprognosisincludingtherateofimprovementandfatalitywerecomparedbetweenthetwogroups．Results：Twenty—onecasesimprovedand5diedinthetr

7、eatmentgroup，while17casesimprovedand14diedinthecontrolgroup．Theimprovementrateofthetreatmentgroupwassuperiortothatofthecontrolgroup(P<0．05)．Conclusions：Highqualitynursingservicemodeplaysanimportantroleinharmonizingthenurse—patientrelationship，enhancingthep

8、atientssatisfactiondegree，andimprovingtheprognosisandlifequalityoftheHEpatients．[Keywords]hepaticencephalopathy；nursingintervention；livercirhosis优质护理服务是指在做好临床常规护理服务工肝硬化患者最常见的死亡原因。对HE患者实施有作的基础之上，加强人性化、个性化服务理念及