103例脑型肝豆状核变性患者的整体护理

Holistic Nursing of 103 Patients With Cerebral Hepatolenticular Degeneration

目的总结四川大学华西第四医院2012-01/2013-11的103例脑型肝豆状核变性患者的护理措施,以便更好地开展肝豆状核变性患者的整体护理。方法肝豆状核变性患者的治疗现阶段主要是通过驱铜保肝、对症治疗为主,护理的重点在于做好患者的驱铜饮食指导,心理护理,肢体训练、语言训练等措施,用药过程中观察其副反应。结果通过驱铜保肝的治疗,护理工作的落实,103例患者平均住院日为(17.72±9.47)d,其中101例患者症状减轻,恢复正常自理能力,好转出院。结论驱铜保肝结合饮食指导、心理护理、肢体训练、语言训练等护理措施,能显著改善患者的锥体外系症状和精神症状。

Objective To summarize the nursing measures of 103 patients with cerebral hepatolenticular degeneration from January 2012 to November 2013 in No. 4 West China Teaching Hospital of Sichuan University for better carrying out holistic nursing of the patients. Methods Treatment measures of patients with hepatolenticular degeneration at this stage mainly included decoppering,hepatoprotective strategy and symptomatic treatment. The nursing care was focused on copper diet instruction,psychological nursing,training,body language training and observing the side effects during medication. Results After implementation of those treatments including decoppering,hepatoprotective and nursing work in the 103 patients,the average hospitalization was 17. 72 ± 9. 47 days,among which 101 patients discharged when recovered to normal symptoms and acquired self- care abilities. Conclusion The combination of decoppering,hepatoprotective strategy,diet instruction,psychological nursing,physical training,language training and nursing measures can significantly improve the patient＇s extrapyramidal symptoms and psychiatric symptoms.