本文關(guān)鍵詞： 預(yù)見性護理 肝炎并肝昏迷 臨床價值　出處：《中華全科醫(yī)學(xué)》2016年03期 　論文類型：期刊論文

【摘要】：目的分析預(yù)見性護理在搶救肝炎并發(fā)肝昏迷患者中的臨床價值,完善預(yù)見性護理的方式方法,進而提升目前護理水平,為日后護理工作提供理論依據(jù)。方法選取自2011年4月—2015年4月收治的64例肝炎并肝昏迷患者,將其按隨機數(shù)字表法分為對照組和觀察組,每組各32例,2組在年齡、病種以及性別等方面差異無統(tǒng)計學(xué)意義,具有可比性(P0.05)。對照組采用常規(guī)護理,觀察組在常規(guī)護理基礎(chǔ)上同時采取預(yù)見性護理,包括建立預(yù)見性護理意識,氮源控制,及對各種并發(fā)癥的預(yù)防措施以確保患者狀態(tài)良好。比較2組患者在昏迷時間、死亡人數(shù)、并發(fā)癥發(fā)生例數(shù)方面的差異。結(jié)果觀察組的昏迷時間為(3.02±1.13)d,死亡3人,發(fā)生并發(fā)癥2人,對照組昏迷時間(7.56±1.84)d,死亡7人,發(fā)生并發(fā)癥12人。觀察組患者的昏迷時間、死亡人數(shù)、并發(fā)癥發(fā)生例數(shù)均優(yōu)于對照組,差異具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論在肝炎并發(fā)肝昏迷患者的搶救過程中,應(yīng)用預(yù)見性護理能夠有效提高護理效果,縮短昏迷時間,降低病死率以及并發(fā)癥發(fā)生率,效果顯著,值得在臨床推廣應(yīng)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.

【作者單位】： 成都醫(yī)學(xué)院第一附屬醫(yī)院感染科;
【分類號】：R473.5
【正文快照】： 肝昏迷(hepaticoma)是最常見的肝細胞功能衰竭的表現(xiàn)狀態(tài),以精神以及神經(jīng)紊亂為主要的特征,是肝炎發(fā)病過程中關(guān)鍵死亡原因以及并發(fā)癥。預(yù)見性護理是指護理人員針對患者的具體病情進行全面綜合的分析與判斷,運用醫(yī)學(xué)知識,找出現(xiàn)存和潛在的護理問題,提前預(yù)知患者存在的護理風(fēng)險,，

本文編號：1468974