急性黄疸型肝炎患者的饮食护理模式及效果分析

Dietary Nursing Model and Effect Analysis of Patients with Acute Icteric Hepatitis

目的探讨急性黄疸型肝炎患者的饮食护理模式及效果。方法将我院2019年1月至2020年1月80例急性黄疸型肝炎患者,信封随机法分两组。对照组给予常规护理,试验组实施饮食护理模式相关。试验组在上述的基础上实施饮食护理模式,采取中医饮食辨证指导的护理模式,在护理中,对患者进行辨证的饮食指导。比较两组护理开始和护理后SCL-90症状量表评分、遵医饮食行为评分、黄疸消退时间、住院时间、不良反应率。结果护理开始两组此类指标比较,P>0.05,而护理结束试验组SCL-90症状量表评分优化程度大于对照组优化的程度,P<0.05。试验组的遵医饮食行为评分比对照组高(t=7.983,P=0.000<0.05)。试验组的遵医饮食行为评分是(94.40±3.71)分,而对照组的遵医饮食行为评分是(90.44±2.11)分。试验组黄疸消退时间、住院时间均短于对照组,P<0.05,试验组不良反应率低于对照组(χ^(2)=6.745,P=0.011<0.05)。试验组不良反应有1例,占2.50%,而对照组不良反应8例,占20.00%。结论急性黄疸型肝炎患者实施饮食护理模式可减轻患者的心理症状,提高其饮食遵医行为,加速黄疸消退和减少不良反应,缩短住院时间,可见,在常规护理的基础上,饮食护理模式对于急性黄疸型肝炎患者的好处较多,其不仅加速了患者的康复进程,也提升了身心健康状况,是一种值得推广的护理模式。

Objective To explore the dietary nursing mode and effect of patients with acute icteric hepatitis.Methods Eighty patients with acute icteric hepatitis in our hospital from January 2019 to January 2020 were randomly divided into two groups.The control group was given routine nursing,and the experimental group was given diet nursing mode.On the basis of the above,the experimental group implemented the diet nursing mode,adopted the nursing mode of dialectical diet guidance of traditional Chinese medicine,and gave dialectical diet guidance to patients in nursing.The SCL-90 symptom scale score,medical compliance eating behavior score,jaundice regression time,hospital stay and adverse reaction rate were compared between the two groups.Results The comparison of these indexes between the two groups at the beginning of nursing,P>0.05,while the optimization degree of SCL-90 symptom scale score in the experimental group was greater than that in the control group at the end of nursing,P<0.05.The score of compliance eating behavior in the experimental group was higher than that in the control group(t=7.983,P=0.000<0.05).The score of compliance eating behavior in the experimental group was(94.40±3.71),while the score of compliance eating behavior in the control group was(90.44±2.11).The regression time of jaundice and hospitalization time in the experimental group were shorter than those in the control group(P<0.05).The adverse reaction rate in the experimental group was lower than that in the control group(χ^(2)=6.745,P=0.011<0.05).There were 1 case of adverse reactions in the experimental group,accounting for 2.50%,while there were 8 cases of adverse reactions in the control group,accounting for 20.00%.Conclusion The implementation of dietary nursing model in patients with acute icteric hepatitis can reduce the psychological symptoms of patients,improve their dietary compliance behavior,accelerate the regression of jaundice and reduce adverse reactions,and shorten the length of hospital stay.It can be seen that on the basis of routine nursing,dietary nursing model has more benefits for patients with acute icteric hepatitis,which not only accelerates the rehabilitation process of patients,it also improves physical and mental health,which is a nursing model worthy of promotion.