护理干预对肝性脑病患者预后的影响

Effects of Nursing Intervention on Prognosis of Patients with Hepatic Encephalopathy

目的探讨肝性脑病(HE)的临床观察要点,寻求更好的护理对策,提高护理水平和患者生存质量。方法回顾性分析2003年2月～2009年11月间我院收治的158例以肝性脑病为主要诊断的病例,其中2003年2月～2006年7月间收治的80例给予HE的常规护理作为对照组,2006年8月～2009年11月间收治的78例同类病例在此基础上给予心理护理、健康教育、预见性护理等护理干预措施作为干预组,比较两组的预后情况(治疗好转和恶化死亡)。结果干预组治疗好转48例,恶化死亡30例;对照组治疗好转32例,恶化死亡48例,差异有显著性意义(χ2=7.330,P=0.007)。结论心理干预、健康教育、预见性护理等综合护理干预措施对改善HE患者的预后至关重要,提高了患者的生存质量。

Objective To explore the clinic characteristics of hepatic encephalopathy and seek optimal nursing strategies in order to reach a higher level of nursing and improve the qulity of life of patients. Methods We analyzed 158 cases of hepatic encephalopathy retrospectively between Feb 2003 and Nov 2009. Routine nursing care was given to 80 cases of hepatic encephalopathy admitted between Feb 2003 and July 2006 as control group.Psychiatric nursing,health education and preventive nursing in addition were given to 78 cases of hepatic encephalopathy admitted between Aug 2006 and Nov 2009 as intervention group,and the prognosis was compared between two groups. Results The mortality rate of the intervention group was 38.5%（30/78）, and that of the control group was 60.0%（48/80）,with a significant difference（χ2=7.330,P=-0.007）. Conclusion Comprehensive nursing measures such as psychiatric nursing,health education,preventive nursing,etc, are of great importance to improve the prognosis of hepatic eneephalopathy.