摘要
目的探讨预见性护理在人工肝血浆置换术治疗肝衰竭患者中的应用效果。方法选择2018年1月—2019年6月在本院感染性疾病科接受人工肝血浆置换术治疗的肝衰竭患者62例作为研究对象,其中2018年1—9月收治的31例患者作为对照组,2018年10月—2019年6月收治的31例患者作为观察组。对照组实施常规护理方法,观察组在常规护理的基础上实施预见性护理。使用汉密尔顿焦虑量表(HAMA)评估患者焦虑状态。对两组患者人工肝血浆置换术治疗前1天、治疗结束拔管后第2天进行焦虑评分、并发症发生率和护理满意度进行比较。结果对照组患者术前焦虑评分为(12.87±8.19)分,术后焦虑评分为(11.65±7.62)分,观察组术前焦虑评分为(5.58±2.38)分,术后焦虑评分为(5.22±2.18)分,观察组焦虑程度明显减轻(P<0.05);观察组患者并发症的发生率16.13%,低于对照组48.39%(P<0.05);观察组患者护理满意度为96.68%,明显的高于对照组的77.42%(P<0.05)。结论预见性护理能改善人工肝血浆置换术治疗肝衰竭患者心理焦虑状态、降低并发症的发生率、提高患者对护理人员的满意度。
Objective To investigate the application effect of predictive nursing in the treatment of patients with liver failure by artificial liver plasma exchange.Methods 62 cases of patients suffered with liver failure those received artificial liver plasma replacement in infectious diseases department of the first affiliated hospital of Bengbu Medical College from January 2018 to June 2019 were enrolled as research subjects of the study.Among them,the 31 cases admitted to the hospital from January 2018 to September 2018 were selected as the control group.The other 31 patients admitted to the hospital from October 2018 to June 2019 were selected as the observation group.The patients in control group was given routine nursing care,while the patients in observation group applied predictive nursing on the basis of routine nursing.Hamilton anxiety scale(HAMA)was used to evaluate the anxiety state of patients.Preoperative anxiety score(one day before treatment),postoperative anxiety score(two days after extubation),complication rate and nursing satisfaction were compared between the two groups.Results Preoperative anxiety score and postoperative anxiety score in the control group were(12.87±8.19)and(11.65±7.62),respectively;the preoperative anxiety score and postoperative anxiety score in the observation group were(5.58±2.38)and(5.22±2.18),respectively.Anxiety was significantly reduced in the observation group,with statistical significance(P<0.05).The incidence of complications in the observation group was 16.13%,which was lower than 48.39%in the control group(P<0.05).Patient satisfaction on the nursing in observation group was 96.68%,it was significantly higher than 77.42%in the control group(P<0.05).Conclusions Predictive nursing could greatly improve the psychological anxiety of patients with liver failure treated with artificial liver plasma replacement,reduce the incidence of complications,and improve the nursing satisfaction of patients.
作者
张静
乔艳
李小杰
徐从翠
ZHANG Jing(Department of infectious diseases,the first affiliated hospital of Bengbu Medical Collage,Bengbu,Anhui 233004,China)
出处
《齐齐哈尔医学院学报》
2021年第9期796-799,共4页
Journal of Qiqihar Medical University
基金
蚌埠医学院科技发展基金项目(BYKF1791)
关键词
人工肝血浆置换术
肝衰竭
预见性护理
Artificial liver plasma exchange
Liver failure
Predictive care
