护理干预对肝硬化合并门静脉高压症患者术后的临床效果

Clinical Effect of Nursing Intervention on Postoperative Patients With Liver Cirrhosis Complicated With Portal Hypertension

目的探讨肝硬化合并门静脉高压症患者术后近远期营养状况的影响和护理干预。方法选取2018年1月—2020年1月收治的97例肝硬化合并门静脉高压症患者,将97例患者分为49例对照组以及48例研究组,对照组接受常规护理,研究组接受加强护理,对比两组患者的营养状况评分,术后4 d、出院前的活动距离以及活动度,护理满意度评分以及住院时长。结果护理前,研究组与对照组的营养状况评比较差异无统计学意义(P>0.05);护理后1、3个月组间对比,研究组的评分(10.59±0.45)、(12.58±0.32)分,高于对照组的(9.34±0.66)、(10.48±0.42)分,差异有统计学意义(P<0.05)。研究组术后4 d、出院前的活动距离(896.68±56.92)、(1296.36±105.92)m,活动度(88.59±9.83)、(135.82±11.84)min均优于对照组,差异有统计学意义(P<0.05)。研究组患者护理满意度评分(93.42±3.31)分,高于对照组的(85.85±4.59)分,住院时长(7.83±1.37)d,短于对照组的(11.58±2.39)d,组间对比差异有统计学意义(P<0.05)。结论于本院肝硬化合并门静脉高压症患者行加强护理,能有效改善患者的术后活动度,改善患者的远期以及近期的营养状况评分,对其预后具有积极作用,该护理模式值得推广。

Objective To explore the influence of short-term and long-term nutritional status and nursing intervention on patients with cirrhosis complicated with portal hypertension.Methods From January 2018 to January 2020,97 patients with liver cirrhosis complicated with portal hypertension were selected and divided into 49 control groups and 48 study groups.The control group received routine care and the study group received intensive care.The nutritional status score,activity distance and activity before discharge postoperative 4 days,nursing satisfaction score and length of stay were compared between the two groups.Results Before nursing,there was no significant difference in nutritional status scores between the study group and the control group(P>0.05).One month and three months after nursing,the scores of study group(10.59±0.45)and(12.58±0.32)points,were significantly higher than(9.34±0.66)and(10.48±0.42)points of control group(P<0.05).The active distance(896.68±56.92)m and(1296.36±105.92)m and the active range(88.59±9.83)min and(135.82±11.84)min in the study group were significantly better than those in the control group(P<0.05).The nursing satisfaction score of patients in the study group was(93.42±3.31)points higher than(85.85±4.59)points in the control group,and the length of hospitalization(7.83±1.37)days was shorter than(11.58±2.39)days in the control group,with significant difference between the two groups(P<0.05).Conclusion Strengthening nursing care for patients with liver cirrhosis complicated with portal hypertension in our hospital can effectively improve the postoperative activity of patients,improve the long-term and short-term nutritional status scores of patients,and have a positive effect on their prognosis.This nursing mode is worthy of promotion.