护理干预对慢性重型肝炎肝性脑病影响的研究

Study on the effect of nursing intervention on chronic severe hepatitis and hepatic encephalopathy patient.

目的:探讨护理干预对慢性重型肝炎肝性脑病的影响。方法:对90例慢性重型肝炎患者在常规治疗护理的基础上实施全面评估发生肝性脑病存在及潜在的诱因,进行预见性的护理干预(观察组),并随机抽取常规治疗护理的同病种病例90例(对照组)。结果:观察组肝性脑病的发生率及治疗效果与对照组比较有统计学意义(P<0.05)。结论:护理干预可消除和减少肝性脑病的诱发因素,减少肝性脑病的发生率,提高治疗效果。提示慢性重型肝炎患者要重视对肝性脑病诱发因素的评估及进行预见性护理干预,去除肝性脑病的诱因,对防治慢性重型肝炎肝性脑病、改善治疗效果、提高患者的生存率有重要作用。

Objective： To explore the influence of nursing intervention on chronic severe hepatitis and hepatic encephalopathy.Methods： Selected 90 chronic severe hepatitis patients on the basis of conventional care,then implemented comprehensive evaluation on existing and potential triggers lead to hepatic encephalopathy for participative nursing intervention,and randomly extracted 90 patients with the same disease cases based on conventional care as control group.Results： Comparison of therapeutic effect and incidence of hepatic encephalopathy between observation group and contrast group was statistically significant（P0.05）.Conclusions： Nursing intervention can eliminate and reduce liver cerebral causative factor,reduce the incidence of hepatic encephalopathy and increase the therapeutic effect.It＇s prompted that nursing chronic severe hepatitis patients should pay attention on assessing the induce factor of hepatic encephalopathy and carrying out the predictive nursing intervention.Removed hepatic encephalopathy triggers,is very important to the prevention and control of hepatic encephalopathy,the improve of therapeutic effect and the increase of patient surial rates.