饮食护理对急慢性肝炎患者的影响

Effect of Diet Nursing on Patients with Acute and Chronic Hepatitis

目的分析评价急慢性肝炎患者实施饮食护理的效果。方法本次将我院于2018年2月至2019年1月收治的90例急慢性肝炎患者作为研究的对象,以随机抽样法分成两个不同的组别,每组平均为45例;其中,对照组实施基础护理,观察组在此基础上实施饮食护理,然后比较两组护理效果。结果①护理前,两组在TBIL、AST、ALT三项肝功能指标水平均无明显差异(P>0.05);护理后,观察组的上述指标均显著低于对照组(P<0.05)。②观察组平均住院时间的(45.88±2.12)d,明显短于对照组[(64.89±2.11)d],两组数据存在明显统计学差异(t=12.376,P<0.05)。两组患者均进行为期1年的随访,其中观察组一共复发3例,复发率为6.67%;对照组一共复发12例,复发率为26.67%。在复发率方面,观察组显著低于对照组,两组之间的数据有显著差异(χ^(2)=12.439,P<0.05)。③经积极护理后,观察组生活质量量表(SF-36)中的躯体状态、生理职能、心理状态和社会功能四项指标评分均显著高于对照组(P<0.05)。结论急慢性肝炎患者,给予饮食护理方法,可改善患者的肝功能状态,缩短住院时间,降低复发率,进一步改善生活质量;因此,具备推广及应用的价值。

Objective To analyze and evaluate the effect of diet nursing on patients with acute and chronic hepatitis.Methods Ninety patients with acute and chronic hepatitis admitted in our hospital from February 2018 to January 2019 were divided into two groups by random sampling method in the field of mathematics,with an average of 45 cases in each group;among them,the control group implemented basic nursing,the observation group implemented diet nursing on this basis,and then compared the nursing effect of the two groups.Results(1)Before nursing,there was no significant difference in TBIL,AST and ALT between the two groups(P>0.05);after nursing,the observation group was significantly lower than the control group(P<0.05).(2)The average length of stay in the observation group was(45.88±2.12)days,which was significantly shorter than that in the control group(64.89±2.11)days.There was a significant statistical difference between the two groups(t=12.376,P<0.05).Both groups of patients were followed up for one year.The observation group had 3 relapses,with a recurrence rate of 6.67%;the control group had 12 relapses,with a recurrence rate of 26.67%.In terms of recurrence rate,the observation group was significantly lower than the control group,and the data between the two groups were significantly different(χ^(2)=12.439,P<0.05).(3)After active nursing,the scores of body state,physiological function,psychological state and social function in SF-36 in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The patients with acute and chronic hepatitis can improve their liver function,shorten the length of stay,reduce the recurrence rate,and further improve their quality of life.