舒适护理在人工肝支持系统治疗重型肝炎中的应用效果

Application effect of comfort nursing in the treatment of severe hepatitis with artificial liver support system

目的探讨舒适护理在人工肝支持系统治疗重型肝炎中的应用效果。方法选取2018年1月~2018年6月上饶市第二人民医院收治的21例重型肝炎患者为对照组,2019年11月~2020年2月上饶市第二人民医院收治的28例重型肝炎患者为研究组,两组均使用人工肝支持系统治疗,对照组采用常规护理干预,研究组采用舒适护理干预。观察分析两组的凝血酶原时间(PT)、血清总胆红素(TBil)、丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、清蛋白(ALB)、舒适度、依从性、满意度及第1次手术和第2次手术的焦虑度。结果干预前,研究组的PT、TBil、ALT、AST、ALB指标与对照组比较,差异无统计学意义(P>0.05);干预后,研究组的TBil、ALT、AST、ALB指标低于对照组,研究组的PT短于对照组,两组干预后的TBil、ALT、AST、ALB指标低于干预前,PT短于干预前,差异均有统计学意义(P<0.05);干预后,研究组的总舒适度高于对照组,差异有统计学意义(P<0.05);干预后,研究组的总依从性高于对照组,差异有统计学意义(P<0.05);干预后,研究组护理满意度优于对照组,差异有统计学意义(P<0.05);第1次术前两组的焦虑度比较,差异无统计学意义(P>0.05),术后对照组的焦虑度低于术前(P<0.05),研究组的焦虑度低于术前(P<0.05),研究组的焦虑度低于对照组,差异均有统计学意义(P<0.05);第2次术前两组的焦虑度比较,差异无统计学意义(P>0.05),术后对照组的焦虑度低于术前(P<0.05),研究组的焦虑度低于术前(P<0.05),研究组的焦虑度低于对照组,差异均有统计学意义(P<0.05)。结论舒适护理在人工肝支持系统用于治疗重症肝炎不仅可提高患者的护理满意度、临床舒适度及治疗依从性,还可缓解患者的焦虑、抑郁等负面情绪,改善患者的血生化指标,对患者的病情恢复有积极的促进作用,值得大力推广。

Objective To explore the application effect of comfortable nursing in the treatment of severe hepatitis with artificial liver support system.Methods A total of 21 patients with severe hepatitis admitted to the Second People′s Hospital of Shangrao City from January 2018 to June 2018 were selected as the control group,and 28 patients with severe hepatitis admitted to the Second People′s Hospital of Shangrao City from November 2019 to February 2020 were selected as the study group.Both groups were treated with artificial liver support system.The control group was given routine nursing intervention,and the study group was given comfortable nursing intervention.Prothrombin time(PT),serum total bilirubin(TBil),alanine aminotransferase(ALT),aspartate aminotransferase(AST),albumin(ALB),comfort,compliance,satisfaction and the first and second operation were observed and analyzed.Results Before intervention,the indexes of PT,TBil,ALT,AST and ALB in the study group were not significantly different from those in the control group(P>0.05).After intervention,the TBil,ALT,AST and ALB indexes of the study group were lower than those of the control group,and PT of the study group was shorter than that of the control group,the TBil,ALT,AST and ALB indexes of the two groups were lower than that of the control group after intervention,and PT was shorter than that before intervention,with statistical differences(P<0.05).After intervention,the total comfort level of the study group was higher than that of the control group,with statistical difference(P<0.05).After intervention,the total compliance of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the satisfaction of the study group was bitterer than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in anxiety between the two groups before the first operation(P>0.05);the postoperative anxiety of the control group was lower than that before the operation(P<0.05);the anxiety of the study group was lower than that before the operation(P<0.05);the anxiety of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in anxiety between the two groups before the second operation(P>0.05);the postoperative anxiety of the control group was lower than that before the operation(P<0.05);the anxiety of the study group was lower than that before the operation(P<0.05);the anxiety of the study group was lower than that of the control group,with statistical differences(P<0.05).Conclusion Comfortable nursing in the artificial liver support system for the treatment of severe hepatitis can not only improve the patients′nursing satisfaction,clinical comfort and treatment compliance,but also relieve the patients′anxiety,depression and other negative emotions,improve the blood biochemical indicators of patients,and have a positive role in promoting the recovery of patients′condition,which is worthy of promotion.