护理专案改善在肝衰竭患者睡前加餐中的应用

Application of nursing project improvement in improving the compliance of late night snack in patients with liver failure

目的探讨护理专案改善在提高肝衰竭患者睡前加餐依从率和白蛋白水平中的应用效果。方法采用方便抽样法选取2016年8月-2017年11月期问在河南省人民医院住院的慢加急性肝衰竭患者96例作为研究对象，按照住院时间分为两组，其中护理专案改善实施前2016年8月-2017年3月期间住院的48例为对照组，护理专案改善实施后2017年4月-2017年11月期间住院的48例患者为干预组。2017年4月起实施护理专案改善活动，了解患者睡前加餐依从率低的原因并成立护理专案改善小组，制订提高肝衰竭患者睡前加餐依从性护理专案改善措施。比较两组患者睡前加餐依从率以及白蛋白水平。结果肝衰竭患者睡前加餐的依从率由改善前的66．7％提高至85．9％，差异有统计学意义（P〈0．01）。改善后干预组向蛋白水平高于对照组，差异有统计学意义（P〈0．01）。结论实施护理专案改善，可提高肝衰竭患者睡前加餐的依从率，改善肝衰竭患者营养状况。

Objective To explore the application of nursing project improvement in improving the compliance of late night snack and the albumin level in patients with liver failure. Methods From August 2016 to November 2017, a total of 96 chronic and acute liver failure patients who were hospitalized in He＇nan People＇s Hospital were selected as the research subjects by convenience sampling method. All the subjects were divided into two groups according to the time of hospitalization. The patients who were hospitalized before the application of nursing project improvement, from August 2016 to March 2017, were assigned as the control group. After the application of nursing project improvement, from April 2017 to November 2017, the patients were assigned as the intervention group. The nursing project improvement activities has been implemented from April 2017. The causes of low compliance rate of patients with pre-bedtime meal addition were explored. Nursing project improvement group was established to formulate measures to improve the compliance of patients with liver failure before bedtime meal addition. The compliance of late night snack and the albumin level of the patients were compared between the two groups. Results The compliance of late night snack in patients with liver failure increased from 66.7% to 85.9%, and the difference was statistically significant （P 〈 0.01）. The albumin level of the intervention group was higher than that of the control group after the improvement, and the difference was statistically significant （P 〈 0.01）. Conclusions Through the implementation of nursing project improvement, we could improve the compliance of late night snack in patients with liver failure, and improve the nutritional status of patients with liver failure.