护理干预在人工肝血浆置换治疗重症肝炎中的应用研究

Study of nursing intervention in serious hepatitis treated by plasma exchange

目的探讨护理干预在人工肝血浆置换治疗重症肝炎中的应用价值,以减少并发症的发生,提高护理质量。方法将应用人工肝血浆置换治疗的60例重症肝炎患者随机分为观察组和对照组各30例,观察组采用护理干预,对照组采用常规护理,比较两组患者满意度、并发症发生情况以及第1次和第3次人工肝血浆置换治疗后的汉密尔顿焦虑量表Hamilton anxiety scale,HAMA评分。结果观察组护理满意率93.33%,对照组护理满意率66.67%;观察组不良反应发生率20.00%,对照组不良反应发生率46.67%。第1次治疗,观察组和对照组HAMD评分分别为(19.14±2.90)分、(19.11±2.70)分;第3次治疗,观察组和对照组HAMD评分分别为(8.47±1.16)分、(14.70±1.34)分。结论护理干预可以有效降低应用人工肝血浆置换治疗重症肝炎患者的并发症发生率,减轻患者焦虑情况,提高护理满意度,值得临床推广应用。

Objective Stuyding the efficacy of nursing intervention in serious hepatitis treated by plasma exchange,to reduce the complications and improve the quality of nursing.Methods 60 patients with serious hepatitis treated by plasma exchange were randomly divided into observation group and control group.The observation group was given nursing intervention,and the control group was given the conventional care.Results The satisfaction rate of nursing in the observation group（93.33%） was higher than that of the control group （66.67%）（P 〈 0.05 ）.Adverse reaction rate was 20.00% in observation group,which was lower than that of control group（46.67% ）（P 〈 0.05）.After treated for the first time,the observation group and the control group patients＇ HAMA score were 19.140±2.90 and 19.11±2.70,there was no significant difference （P〉0.05）.After treated for the third time,the observation group patients＇HAMA score （8.47 ± 1.16）was obviously lower than that of the control group （14.70± 1.34）（P 〈 0.05 ）. Conclusions Nursing intervention was worthy of clinical application for patients with serious hepatitis treated by plasma exchange,because it could reduce the patients＇ anxiety and improve the satisfaction rate.