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护理风险管理在慢性乙型肝炎肝衰竭患者中的应用 被引量:19

The application of nursing risk management in patients with chronic hepatitis B liver failure
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摘要 目的:探讨护理风险管理在慢性乙型肝炎肝衰竭(chronic hepatitis B liver failure,CHBLF)患者中的应用效果。方法:选择2013年6月至2014年2月我院收治的CHBLF患者43例作为观察组,同时选择2012年2月至2013年5月52例CHBLF患者作为对照组;对照组按照常规方法实施护理管理,观察组采用护理风险管理,观察两组患者住院时间、并发症(肝性脑病、肝肾综合征、消化道出血、继发感染)、护理质量控制评分、护理缺陷发生率以及患者满意度等。结果:观察组肝性脑病、消化道出血、肝肾综合征、继发感染以及2种以上并发症发生率低于对照组(P>0.05);观察组护理质量控制评分和满意度明显高于对照组(P<0.05),而护理缺陷发生率显著低于对照组(P<0.05)。结论:CHBLF患者中实施护理风险管理可有效提高护理质量和患者满意度,减少护理缺陷和并发症的发生。 Objective: To explore the effect of nursing risk management in patients with chronic hepatitis B liver failure (CHBLF).Methods: A total of 43 cases of patients with CHBLF were chosen as observation group in our hospital from June 2013 to February 2014 while 52 cases of patients with CHBLF were chosen as control group; the control group was given conventional nursing management while the observation group used nursing risk management, the hospitalization time, complications (hepatic encephalopathy, hepatorenal syndrome, gastrointestinal bleeding, secondary infection), the score of nursing quality, the incidence of nursing defects and patient satisfaction were observed in the two groups.Results: The incidence of hepatic encephalopathy, gastrointestinal hemorrhage, hepatorenal syndrome, secondary infection and more than two kinds of complication in observation group was lower than control group (P〉0.05); the score of nursing quality and satisfaction were obviously higher than control group (P〈0.05), while the incidence of nursing defects was significantly lower than control group (P〈0.05). Conclusion: hTe implementation of nursing risk management on patients with CHBLF can effectively improve the nursing quality and satisfaction, and reduce the occurrence of nursing defect and complications.
作者 李娟 雷毓宁
出处 《临床与病理杂志》 CAS 2015年第8期1524-1527,共4页 Journal of Clinical and Pathological Research
关键词 护理风险管理 慢性乙型肝炎肝衰竭 效果评价 nursing risk management chronic hepatitis B liver failure efect evaluation
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