论文部分内容阅读
目的:探讨个体化护理指导措施在肝硬化失代偿期患者治疗中的临床价值。方法:选取110例肝硬化失代偿期患者,根据就诊单双号分为个体化护理组、常规护理组各55例,两组均给予基础治疗,对比两组患者在不同的护理措施下治疗效果、治疗依从性。结果:治疗前,个体化护理组和常规护理组的血清ALT、AST、ALB、TBIL、PT血清HBV-DNA定量检测结果差异均无统计学意义(P>0.05),治疗后,个体化护理组患者的血清ALT、AST、TBIL、PT、血清HBV-DNA定量检测结果均低于常规护理组(P<0.05),个体化护理组患者的ALB水平高于常规护理组(P<0.05);治疗后肝功能Child-pugh分级,个体化护理组患者A级20.00%、B级74.55%、C级5.45%,常规护理组A级7.27%、B级78.18%、C级14.55%,两组比较差异具有统计学意义(Z=-2.351,P<0.05);治疗过程中,个体化护理组患者的完全依从率80.00%、部分依从率18.18%、不依从率1.82%,常规护理组的完全依从率60.00%、部分依从率32.73%、不依从率7.27%,两组比较差异具有统计学意义(P<0.05)。结论:个体化护理指导措施在肝硬化失代偿期患者治疗中能显著的提高患者治疗依从性,对于患者治疗效果具有积极作用。
Objective: To explore the clinical value of individualized nursing guidance in the treatment of patients with decompensated liver cirrhosis. Methods: A total of 110 patients with decompensated cirrhosis were enrolled. According to the single and double numbers of treatment, 55 patients were divided into individualized care group and routine care group. Both groups were given basic treatment. The two groups were compared under different nursing measures Effect, treatment compliance. Results: Before treatment, there was no significant difference in the serum HBV-DNA levels between the individualized care group and the routine care group (P> 0.05). After treatment, the individualized nursing group The serum levels of ALT, AST, TBIL, PT and serum HBV-DNA in the patients were lower than those in the routine nursing group (P <0.05), and those in the individual nursing group were higher than those in the routine nursing group (P <0.05) Post-liver function Child-pugh classification, individualized care group A 20.00%, B 74.55%, C 5.45%, conventional care group A 7.27%, B 78.18%, C 14.55% difference between the two groups (Z = -2.351, P <0.05). During the course of treatment, the complete compliance rate of individualized care group was 80.00%, the partial compliance rate was 18.18% and the non-compliance rate was 1.82%. The compliance rate of routine care group 60.00%, partial compliance rate was 32.73% and non-compliance rate was 7.27%. The difference between the two groups was statistically significant (P <0.05). Conclusion: The individualized nursing guidance measures can significantly improve the treatment compliance in patients with decompensated liver cirrhosis, which has a positive effect on the therapeutic effect of patients.