综合护理干预对肝硬化失代偿期患者的影响

Effect of comprehensive nursing intervention on patients with decompensated cirrhosis

目的探讨综合护理干预对肝硬化失代偿期患者的影响，以提高临床护理治疗效果。方法选择已确诊的失代偿期肝硬化患者80例，分为观察组和对照组各40例，观察组在常规护理的基础上应用早期个体化护理干预措施，对照组实施常规的护理和教育，比较两组患者干预前后临床症状、并发症发生率和肝功能指标的变化。结果观察组患者的临床症状和肝功能生化指标的改善优于对照组（P〈0．05），两组患者在并发症的发生率方面差异具有统计学意义（P〈Q01）。结论个体化综合护理干预对肝硬化失代偿期患者控制或减轻临床症状，促进肝功能恢复，延缓肝功能恶化，预防并发症的发生，提高生活质量有重要意义。

Objective To explore the influence of comprehensive nursing intervention on patients with decompensated cirrhosis and promote clinic nursing and therapeutic effects. Methods 80 patients with decompensated cirrhosis were selected and divided into test group and control group, 40 patients in each group. Conventional nursing care and education measures were given to control group, while additional early-staged individualized nursing care interventions were applied in test group. To compare changes of clinic symptoms, complication rates and liver function tests before and after interventions between the two groups. Results Patients in test group had significant improvements in clinic symptoms and liver function tests （ P 〈 0. 05 ）, as well as a significantly lower rate of complication （ P 〈 0. 01 ）. Conclusions Individualized comprehensive nursing interventions play an essential role in controlling and alleviating clinic symptoms, enhancing liver function recovery, delaying liver function deterioration, preventing complication and promoting life quality.