预见性思维护理干预对肝硬化失代偿期患者肠梗阻的预防效果

Preventive effect of predictive thinking nursing intervention on intestinal obstruction in patients with decompensated cirrhosis

目的探讨基于预见性思维的个性化护理干预在肝硬化失代偿期肠梗阻患者护理中的应用价值。方法选取山东省招远市玲珑英诚医院2016年1月至2019年1月收治的肝硬化失代偿期患者114例,按照随机数字表法分成观察组与对照组,各57例。对照组行常规护理,观察组采用基于预见性思维的个性化护理。比较两组住院时间、3个月内再入院率、3个月内病死率,并记录两组肠梗阻发生率。分别在入院时、出院时利用生活质量测评量表(Q0L)评价两组患者的生活质量。结果观察组住院时间为(15.93±2.64)d,短于对照组的(18.95±3.48)d,差异有统计学意义(P<0.05)。观察组再入院率为3.51%,与对照组的12.28%比较差异无统计学意义(P>0.05)。观察组病死率为1.75%(1/57),与对照组的5.26%(3/57)比较差异无统计学意义(P>0.05)。观察组肠梗阻发生率为3.51%,较对照组的14.04%降低。两组出院时社会活动能力、日常生活能力、抑郁心理、焦虑心理评分及总分均高于人院时,且观察组抑郁心理、焦虑心理评分及总分高于对照组,差异均有统计学意义(均P<0.05)。结论与常规护理相比,基于预见性思维的个性化护理干预能缩短肝硬化失代偿期患者的住院时间,降低肠梗阻发生率,提高生活质量。

Objective To explore the application value of personalized nursing intervention based on predictive thinking in the nursing of patients with decompensated intestinal obstruction in cirrhosis.Methods A total of 114 patients with decompensated cirrhosis admitted to this hospital from January 2016 to January 2019 were selected.According to random number table method,they were divided into observation group and control group,with 57 cases in each group.The control group received routine nursing,and the observation group received personalized nursing based on predictive thinking.The length of hospital stay,readmission rate within 3 months and mortality rate within 3 months were compared between the two groups,and the incidence of intestinal obstruction was recorded.Quality of life(QOL)was used to evaluate the quality of life of the two groups at admission and discharge,respectively.Results The length of stay in the observation group was(15.93±2.64)days,which was shorter than that in the control group(18.95±3.48)days,and the difference was statistically significant(P<0.05).The readmission rate of the observation group was 3.51%,and that of the control group was 12.28%.There was no significant difference between the two groups(P>0.05).The fatality rate of the observation group was 1.75%(1/57)and that of the control group was 5.26%(3/57).There was no significant difference between the two groups(P>0.05).The incidence of intestinal obstruction in the observation group was 3.51%,which was lower than that in the control group(14.04%).The scores of social ac tivity ability,daily living ability,depression,anxiety and total scores of the two groups at discharge were higher than those at admission.The scores of depression and anxiety and total score in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Compared with conventional nursing,personalized nursing intervention based on predictive thinking can shorten the hospitalization time of patients with decompensated cirrhosis,reduce the incidence of intestinal obstruction,and improve the quality of life.