顽固性肝硬化腹水的临床护理与分析

Clinical Nursing and Analysis of Refractory Cirrhosis Ascites

目的分析综合护理及PDCA循环管理在顽固性肝硬化腹水中的应用效果。方法 88例顽固性肝硬化腹水患者按照数字表法随机分为两组,对照组采用常规护理;观察组采取综合护理及PDCA循环管理。观察统计患者对护理态度、心理护理、饮食护理、体位护理、护理巡视、病情观察、用药护理、治疗效果及健康指导的满意度。结果观察组满意度高于对照组,观察组非常满意31例,满意11例,不满意2例,满意度为95.45%,对照组非常满意22例,满意14例,不满意8例,满意度为为81.82%,两组比较有统计学意义(P <0.05)。结论对于顽固性肝硬化腹水,采用综合护理及PDCA循环护理方法,可提高患者满意度。

Objective To analyze the effect of comprehensive nursing and PDCA circulation management in the treatment of refractory cirrhosis with ascites. Methods 88 cases of refractory cirrhosis ascites were randomly divided into two groups according to the digital table method, routine nursing was used in the control group. The observation group adopted comprehensive nursing and PDCA cycle management. The satisfaction of patients with nursing attitude, psychological nursing, diet nursing, body position nursing, nursing patrol, disease observation, medication nursing, treatment effect and health guidance was observed. Results The satisfaction rate of the observation group was higher than that of the control group. The observation group had 31 cases of great satisfaction, 11 cases of satisfaction, and 2 cases of dissatisfaction, with the satisfaction rate of 95.45%. The control group had 22 cases of great satisfaction, 14 cases of satisfaction, and 8 cases of great dissatisfaction, with the satisfaction rate of 81.82%. Conclusion For refractory cirrhosis ascites, the adoption of comprehensive nursing and PDCA circulation nursing method, can improve patient satisfaction.