强化护理对肝性脑病患者治疗依从性及血清因子水平的影响

Effect of Intensive Care on Treatment Compliance and Serum Factor Levels in Patients with Hepatic Encephalopathy

目的:探讨强化护理对肝性脑病患者治疗依从性及血清因子水平的影响。方法:选取2018年1月—2020年10月濮阳市油田总医院收治的124例肝性脑病患者作为研究对象,随机分为强化护理组与常规护理组,每组各62例。常规护理组采用常规护理干预,强化护理组在常规护理干预的基础上采用强化护理干预。对比两组患者治疗依从性、干预前后血清因子水平[丙氨酸氨基转移酶(ALT)、总胆红素(TBIL)、血氨(NH3)]水平变化、生存质量(GQOL-74)评分及护理满意度。结果:强化护理组治疗依从性高于常规护理组,差异有统计学意义(χ^(2)=10.831,P<0.05)。干预后,两组患者ALT、TBIL、NH3水平均较治疗前降低,且强化护理组低于常规护理组,差异有统计学意义(t=19.329、11.818、13.700,P<0.05)。强化护理组躯体、心理、社会功能、物质生活评分较常规护理组高,差异有统计学意义(t=7.624、10.895、7.840、7.312,P<0.05)。强化护理组护理满意度高于常规护理组,差异有统计学意义(χ^(2)=7.440,P<0.05)。结论:强化护理应用于肝性脑病护理中,可提高患者治疗依从性,降低血清相关因子水平,提高患者生存质量及护理满意度。

Objective:To investigate the effect of intensive care on treatment compliance and serum factor levels in patients with hepatic encephalopathy.Methods:124 patients with hepatic encephalopathy admitted to the hospital from January 2018 to Oc⁃tober 2020 were selected and randomly divided into intensive care group and conventional care group,with 62 cases in each group.Conventional nursing intervention was used in the conventional nursing group,and intensive nursing intervention was used in the intensive nursing group on the basis of conventional nursing intervention.The treatment compliance,changes in serum factor levels(alanine aminotransferase[ALT],total bilirubin[TBIL],blood ammonia[NH3])levels,quality of survival(GQOL-74)scores and nursing satisfaction were compared between the two groups.Results:The treatment compliance was higher in the intensive care group than in the conventional care group,and the difference was statistically significant(χ^(2)=10.831,P<0.05).After the interven⁃tion,ALT,TBIL,and NH3 levels were lower in both groups than before treatment,and the intensive care group was lower than the conventional care group,with statistically significant differences(t=19.329,11.818,13.700,P<0.05).The intensive care group had higher somatic,psychological,social functioning,and physical life scores than the usual care group,with statistically significant dif⁃ferences(t=7.624,10.895,7.840,7.312,P<0.05).Nursing satisfaction was higher in the intensive care group than in the conven⁃tional care group,and the difference was statistically significant(χ^(2)=7.440,P<0.05).Conclusion:Intensive care applied to the care of hepatic encephalopathy can improve patient compliance with treatment,reduce serum-related factor levels,improve the quality of patient survival,and increase nursing satisfaction.