| 张润,刘守蓉,周春联,等.纽曼系统模式护理对肝硬化失代偿期病人预后的影响[J].安徽医药,2019,23(7):1426-1429. |
| 纽曼系统模式护理对肝硬化失代偿期病人预后的影响 |
| The effect of Newman system model nursing on the prognosis of patients with liver cirrhosis |
| 投稿时间：2017-09-12 |
| DOI： |
| 中文关键词: 肝硬化 失代偿期 纽曼系统模式 预后 |
| 英文关键词: Cirrhosis Period of loss of compensation Newman system model Prognosis |
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| 摘要点击次数: 1981 |
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| 中文摘要: |
| 目的 研究纽曼系统模式护理对肝硬化失代偿期病人预后的影响。方法 选取2015年1月至2016年2月泸州市人民医院收治的肝硬化失代偿期病人82例。采用随机数字表法分为观察组与对照组各41例。对照组予以常规护理,观察组则在对照组的基础上应用纽曼系统模式护理。分别对比治疗前后两组病人HRSD评分,SF-36评分,护理前后肝功能变化情况以及1年后再住院率、病死率。结果 护理后观察组与对照组的HRSD评分分别为(33.1±3.8)分、(45.2±4.7)分,均低于护理前,而观察组又低于对照组,差异有统计学意义(均P＜0.05)。护理后观察组生理功能、生理职能、躯体疼痛、社会功能、精力、情感职能、精神健康、总体健康评分均高于对照组,差异有统计学意义(均P＜0.05)。护理后观察组丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)水平分别为(44.3±21.5)U/L、(47.3±23.5)U/L,均低于对照组的(60.2±25.7)U/L、(55.6±26.1)U/L,差异有统计学意义(均P＜0.05)。观察组1年后再住院率及病死率分别为19.51%(8/41)、9.76%(4/41),均低于对照组的46.34%(19/41)、26.83%(11/41),差异有统计学意义(均P＜0.05)。结论 纽曼系统模式护理应用于肝硬化失代偿病人中的效果显著,可明显改善病人抑郁情绪,提高生活质量及减少肝功能损害,预后效果较佳。 |
| 英文摘要: |
| Objective To study the effect of Newman system model nursing on the prognosis of patients with liver cirrhosis.Methods Eighty-two decompensated patients with liver cirrhosis admitted to Luzhou People’s Hospital from January 2015 to February 2016 were collected and divided into observation group and control group according to the random number table method,with 41 cases in each group.The control group received routine care and the observation group were treated with the Newman system model nursing based on the control group.The HRSD score,the SF-36 score,the changes in liver function,the hospitalization rate and mortality after 1 year of the two groups before and after treatment were compared.Results The HRSD score of the observation group and control group after nursing was (33.1±3.8),(45.2±4.7) points,both of which were lower than those before treatment.The observation group was lower than the control group,with significant difference (P＜ 0.05).The physiological function,physiological functions,physical pain and social function,emotional function,mental health,energy and overall health score of the observation group after nursingwere higher than those of the control group,with significant difference (P＜ 0.05).The ALT and AST levels of the observation group were (44.3±21.5)U/L,(47.3±23.5) U/L,which were lower than those of the control group (60.2±25.7)U/L (55.6±26.1)U/L,with significant difference (all P＜ 0.05).The rate of hospitalization and mortality was 19.51%(8/41) and 9.76% (4/41) after 1 year in the observation group,which was lower than 46.34% (19/41) and 26.83% (11/41) of the control group,and the differences were statistically significant (all P＜ 0.05).Conclusion Newman system mode of nursing applied in patients with decompensated cirrhosis has significant effect,which can significantly ameliorate patients with depression,improve the quality of life and reduce the liver function damage and prognosis effect is better. |
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