三维护理管理模式在乙型肝炎肝硬化并发慢加急性肝衰竭患者中的应用效果

Application effect of three-dimensional nursing management model in patients with hepatitis B liver cirrhosis complicated with chronic and acute liver failure

目的探讨三维护理管理模式在乙型肝炎肝硬化并发慢加急性肝衰竭患者中的应用效果。方法选取2017年6月至2018年6月在我院接受治疗的乙型肝炎肝硬化并发慢加急性肝衰竭患者148例为研究对象,按照随机数字表法分为对照组73例和观察组75例,对照组接受常规护理,观察组在对照组基础上实施三维急救护理管理模式。比较两组患者住院时间、医疗纠纷发生率、并发症发生率、满意度。结果观察组患者住院时间短于对照组(P<0.05);观察组医疗纠纷发生率及血浆过敏反应、循环障碍、感染等并发症发生率均低于对照组(P<0.05);观察组患者满意度评分高于对照组(P<0.05)。结论三维护理管理模式运用于乙型肝炎肝硬化并发慢加急性肝衰竭患者中,可有效缩短住院时间,减少相关并发症发生率,提升医护治疗,减少医疗纠纷,获得医护患满意结局。

Objective To explore the application effect of three-dimensional nursing management model in patients with hepatitis B liver cirrhosis complicated with chronic and acute liver failure.Methods To select 148 cases of patients with hepatitis B cirrhosis complicated with chronic acute liver failure who were treated in our hospital from June 2017 to June 2018 as the study objects,and they were divided into a control group of 73 cases and the observation group of 75 cases according to the random number table method.The control group received routine nursing,and the observation group implemented a three-dimensional emergency care management model on the basis of the control group.The length of hospital stay,the incidence rate of medical disputes,the incidence rate of complications,and the satisfaction of the two groups were compared.Results The length of hospital stay in the observation group was less than that in the control group(P<0.05).The incidence rate of medical disputes and the incidence of complications such as plasma allergic reactions,circulatory disorders,and infections in the observation group were lower than those in the control group(P<0.05).The satisfaction score of patients in the observation group was higher than that in the control group(P<0.05).Conclusion The three-dimensional nursing management model applied to patients with hepatitis B cirrhosis complicated with chronic acute liver failure can effectively shorten the length of hospital stay,reduce the incidence rate of related complications,improve medical treatment,reduce medical disputes,and obtain a satisfactory outcome for medical care and patients.