个体化连续饮食护理干预应用于慢性乙型肝炎肝纤维化患者的效果

Effect of Individualized Continuous Dietary Care Intervention Applied to Patients with Chronic Hepatitis B Liver Fibrosis

目的探讨个体化连续饮食护理干预应用于慢性乙型肝炎肝纤维化患者的效果。方法将2019年1月-2020年12月60例乐昌市人民医院收治的慢性乙型肝炎肝纤维化患者按照随机数字表法分为两组,对照组30例予以常规干预,研究组30例予以个体化连续饮食护理干预。比较两组患者干预前后肝功能、肝纤维化程度以及生活质量。结果干预后研究组TBIL、AST和ALT水平以及Stiffness值均低于干预前,且研究组低于对照组(P<0.05)。对照组干预前后TBIL、AST和ALT水平以及Stiffness值比较无统计学意义(P>0.05)。干预后研究组生活质量各维度评分均高于干预前,且研究组高于对照组(P<0.05)。对照组干预前后生活质量各维度评分比较无统计学意义(P>0.05)。结论个体化连续饮食护理干预应用于慢性乙型肝炎肝纤维化患者中可改善患者肝功能以及肝纤维化程度,患者具有较高的生活质量。

Objective To investigate the effect of an individualized continuous dietary care intervention applied to patients with chronic hepatitis B liver fibrosis.Methods A total of 60 patients with chronic hepatitis B liver fibrosis treated in our hospital between January 2019 and December 2020 were divided into two groups according to the random number table method,30 in the control group were subjected to routine intervention,and 30 in the study group were subjected to individualized continuous dietary nursing intervention.The liver function,the degree of liver fibrosis,as well as the quality of life were compared before and after intervention between the two groups.Results The TBIL,AST,and ALT levels and stiffness values of the study group after intervention were lower than those before intervention,and the study group was lower than the control group(P<0.05).The TBIL,AST,and ALT levels and stiffness values of the study group before and after intervention were not statistically significant(P>0.05).The scores of all dimensions of quality of life of the study group after intervention were higher than those of the study group before intervention,and the values of the study group were higher than those of the control group(P<0.05).However,the scores of all dimensions of quality of life in the control group before and after intervention were not statistically significant(P>0.05).Conclusion Individualized continuous dietary care intervention applied to patients with chronic hepatitis B liver fibrosis can improve patient liver function as well as the degree of liver fibrosis,and patients have a high quality of life.