预见性护理在抢救肝炎并发肝昏迷患者中的临床应用

发布时间：2018-01-27 17:12

  本文关键词： 预见性护理 肝炎并肝昏迷 临床价值　出处：《中华全科医学》2016年03期 　论文类型：期刊论文

【摘要】：目的分析预见性护理在抢救肝炎并发肝昏迷患者中的临床价值,完善预见性护理的方式方法,进而提升目前护理水平,为日后护理工作提供理论依据。方法选取自2011年4月—2015年4月收治的64例肝炎并肝昏迷患者,将其按随机数字表法分为对照组和观察组,每组各32例,2组在年龄、病种以及性别等方面差异无统计学意义,具有可比性(P0.05)。对照组采用常规护理,观察组在常规护理基础上同时采取预见性护理,包括建立预见性护理意识,氮源控制,及对各种并发症的预防措施以确保患者状态良好。比较2组患者在昏迷时间、死亡人数、并发症发生例数方面的差异。结果观察组的昏迷时间为(3.02±1.13)d,死亡3人,发生并发症2人,对照组昏迷时间(7.56±1.84)d,死亡7人,发生并发症12人。观察组患者的昏迷时间、死亡人数、并发症发生例数均优于对照组,差异具有统计学意义(P0.05)。结论在肝炎并发肝昏迷患者的抢救过程中,应用预见性护理能够有效提高护理效果,缩短昏迷时间,降低病死率以及并发症发生率,效果显著,值得在临床推广应用。
[Abstract]:Objective to analyze the nursing care in the treatment of clinical value in patients with hepatitis complicated with hepatic coma, to improve the method of predictive nursing, and improve the level of nursing, and provide a theoretical basis for nursing work. Methods 64 cases from April 2011 to April 2015 were hepatitis and hepatic coma patients were randomly divided into for the control group and the observation group, 32 cases in each group, the 2 groups in age, there were no significant differences in gender, disease, comparable (P0.05). The control group received routine nursing care, the observation group based on routine nursing and nursing care, including the establishment of nursing care consciousness, nitrogen source control, and complications of various preventive measures to ensure that patients in good condition. Compare the 2 groups of patients in coma time, the number of deaths, the number of cases of complications difference. The results of the observation group (3.02 for the duration of coma + 1.13) d, 3 people died of complications, 2 people, the control group coma time (7.56 + 1.84) d, 7 people died, complications occurred in 12 patients in the observation group. The duration of coma, death number, number of complications were better than the control group, the difference was statistically significant (P0.05) conclusions in. The rescue process of hepatitis patients with hepatic encephalopathy in the application of predictive nursing can effectively improve the nursing effect, shorten the coma time, reduce the incidence of complications, mortality and the effect is significant, worthy of clinical application.

【作者单位】： 成都医学院第一附属医院感染科;
【分类号】：R473.5
【正文快照】： 肝昏迷(hepaticoma)是最常见的肝细胞功能衰竭的表现状态,以精神以及神经紊乱为主要的特征,是肝炎发病过程中关键死亡原因以及并发症。预见性护理是指护理人员针对患者的具体病情进行全面综合的分析与判断,运用医学知识,找出现存和潜在的护理问题,提前预知患者存在的护理风险,，

本文编号：1468974