肝硬化腹水治疗中实施医护同组责任制的效果观察

Observation of effect of implementation of doctor-nurse group responsibility system in treatment of liver cirrhosis ascites

目的 分析医护同组责任制护理对肝硬化腹水患者肝功能及生活质量的影响。方法 选取2019年7月—2021年1月本院肝硬化腹水患者92例,按随机数字表法分为研究组(n=46)和对照组(n=46),对照组采用常规护理,研究组在对照组基础上采用医护同组责任制护理。对比2组遵医行为(合理饮食、戒烟戒酒、遵医嘱用药、合理运动、定期复查)、干预前后肝功能[丙氨酸氨基转移酶(ALT)、门冬氨酸氨基转移酶(AST)]及生活质量(生理功能、心理功能)。结果 研究组合理饮食率为95.65%(44/46)、戒烟戒酒率为91.30%(42/46)、遵医嘱用药率为95.65%(44/46)、合理运动率为91.30%(42/46)、定期复查率为100.00%(46/46),分别高于对照组的73.91%(34/46)、69.57%(32/46)、76.09%(35/46)、63.04%(29/46)、71.74%(33/46)(P均<0.05);干预后,研究组ALT为(30.68±4.13)U/L、AST为(33.72±4.03)U/L,分别低于对照组的(46.26±4.59)U/L、(52.08±4.46)U/L(t=17.114,20.716,P<0.001);干预后,研究组生理功能评分为(19.56±1.78)分、心理功能评分为(19.23±1.68)分,高于较对照组的(15.56±1.39)分、(15.74±1.42)分(t=12.013、10.761,P均<0.001)。结论 医护同组责任制护理应用于肝硬化腹水患者,可提高遵医行为,改善肝功能,提高生活质量。

Objective To analyze the effect of the implementation of the doctor-nurse group responsibility system on the liver function and quality of life of patients with cirrhosis ascites.Methods A total of 92 patients with cirrhosis ascites in our hospital from July 2019 to January 2021 were selected and divided into a study group(n = 46) and a control group(n =46) according to the random number table method. The control group received routine nursing, while the study group received the doctor-nurse group responsibility system on the basis of the control group. The medical compliance behavior(reasonable diet, smoking and alcohol cessation, medication as prescribed, reasonable exercise, and regular review), liver function [alanine aminotransferase(ALT), aspartate aminotransferase(AST)], and quality of life(physiological function and psychological function) before and after intervention were compared between the two groups.Results In the study group,the rational diet rate of 95.65%(44/46), smoking and alcohol abstinence rate of 91.30%(42/46), medication rate of 95.65%(44/46), reasonable exercise rate of 91.30%(42/46), and regular review rate of 100.00%(46/46) were higher than those in the control group: 73.91%(34/46), 69.57%(32/46), 76.09%(35/46), 63.04%(29/46), and 71.74%(33/46)(all P < 0.05). After the intervention, ALT and AST in the study group were(30.68 ± 4.13) U/L and(33.72 ± 4.03) U/L, which were lower than those in the control group:(46.26 ± 4.59) U/L and(52.08 ± 4.46) U/L, respectively(t = 17.114, t = 20.716, both P < 0.001).After the intervention, the scores of physiological function and psychological function in the study group were(19.56±1.78)and(19.23 ± 1.68), which were higher than those in the control group:(15.56 ± 1.39) and(15.74 ± 1.42), respectively(t =12.013, t = 10.761, both P < 0.001).Conclusion The application of the doctor-nurse group responsibility system in the treatment of patients with cirrhosis ascites can improve their compliance behaviors, liver functions, and quality of life.