优质护理和常规护理在早期肝性脑病护理中的应用比较

Application and Comparison of the High Quality Nursing and Routine Nursing Care in Patients with Early Hepatic Encephalopathy

目的比较优质护理与常规护理对早期肝性脑病患者的临床效果。方法将我院2014年8月~2015年8月收治的早期肝性脑病患者81例,随机分为应用常规护理的对照组与个性化优质护理的优质组,比较两组患者在复发率、临床治疗有效率、满意度等方面的差异。结果优质组与对照组的临床治疗有效率分别为92.7%(38/41)、87.5%(35/40),差异有统计学意义(x2=4.23,P<0.05),优质组住院期间肝性脑病复发率(4.87%,2/41)明显低于对照组(12.5%,5/40,P<0.05),且优质组患者对护理满意度明显高于对照组(P<0.05)。结论在早期肝性脑病患者中开展个体化的优质护理,能提高临床治疗效果,防止肝性脑病复发,增加对护理的满意度,从而使得临床护理质量得到整体提升。

Objective To observe the clinical effect of high quality nursing and routine nursing care in patients with early hepatic encephalopathy. Methods A total of 81 cases with hepatic encephalopathy in our hospital from Aug 2014 to Aug 2015 were randomly divided into two groups： the quality group and the control group. The difference in the rate of improvement, recurrence and nursing satisfaction were compared between the two groups with personalized high quality nursing and routine nursing during hospitalization. Results The clinical treatment efficiency of the high quality group and the control group were 92.7% and 87.5%, respectively. The difference was statistically significant （x 2 =4.23, P〈0.05）. The recurrence rate of the patients with high quality group was significantly lower than that of the control group （4.87% vs. 12.5%）, and nursing satisfaction of the quality group was significantly higher than the control group （P〈0.05）. Conclusion Carrying out of individual- ized nursing care in patients with early hepatic encephalopathy can improve the clinical treatment effect, prevent recurrence of hepatic encephalopathy and increase nursing satisfaction, so that the quality of clinical care has been improved overall.