个体化护理措施对肝硬化失代偿患者治疗效果及依从性的影响

Effect of individualized nursing intervention on the treatment effect and compliance of patients with decompensated cirrhosis

目的:探讨个体化护理指导措施在肝硬化失代偿期患者治疗中的临床价值。方法:选取110例肝硬化失代偿期患者,根据就诊单双号分为个体化护理组、常规护理组各55例,两组均给予基础治疗,对比两组患者在不同的护理措施下治疗效果、治疗依从性。结果:治疗前,个体化护理组和常规护理组的血清ALT、AST、ALB、TBIL、PT血清HBV-DNA定量检测结果差异均无统计学意义(P>0.05),治疗后,个体化护理组患者的血清ALT、AST、TBIL、PT、血清HBV-DNA定量检测结果均低于常规护理组(P<0.05),个体化护理组患者的ALB水平高于常规护理组(P<0.05);治疗后肝功能Child-pugh分级,个体化护理组患者A级20.00%、B级74.55%、C级5.45%,常规护理组A级7.27%、B级78.18%、C级14.55%,两组比较差异具有统计学意义(Z=-2.351,P<0.05);治疗过程中,个体化护理组患者的完全依从率80.00%、部分依从率18.18%、不依从率1.82%,常规护理组的完全依从率60.00%、部分依从率32.73%、不依从率7.27%,两组比较差异具有统计学意义(P<0.05)。结论:个体化护理指导措施在肝硬化失代偿期患者治疗中能显著的提高患者治疗依从性,对于患者治疗效果具有积极作用。

Objective： To explore the clinical value of individualized nursing intervening in the treatment of patients with cirrhosis of the liver cirrhosis. Methods： One hundred and ten patients with decompensated liver cirrhosis were selected and randomized into individualized care group and routine nursing group,55 cases in each. Both groups were given basic treatment. Treatment effect and treatment compliance of the two groups of patients under different care measures were compared. Results： There was no significant difference in the serum ALT,AST,ALB,TBIL and PT serum HBV-DNA between the individualized care group and the conventional nursing group before treatment（ P 0. 05）. After treatment,the levels of serum ALT,AST,TBIL,PT and serum HBV-DNA in the individualized care group were lower than those in the conventional nursing group（ P 0. 05）. The level of ALB in the individualized nursing group was higher than that in the routine nursing group（ P 0. 05）; After treatment,as for liver function of Child-pugh classification,in individualized care group,20. 00% were in grade A,74. 55% grade B,5. 45% grade C; while in routine nursing group,7. 27% were in grade A,78. 18% grade B,14. 55% grade C. The difference was statistically significant（ Z =-2. 351,P 0. 05）; In the course of treatment,the total compliance rate of the individualized nursing group was 80. 00%,the partial compliance rate was 18. 18%,the non-compliance rate was 1. 82%,the complete compliance rate of the conventional nursing group was 60. 00%,the partial compliance rate was 32. 73%,the non-compliance rate was 7. 27%,the difference between the two groups was statistically significant（ P 0. 05）. Conclusion： Individualized nursing intervening can significantly improve the treatment compliance in the course of treatment of patients with liver cirrhosis and results in positive effect on the treatment.