摘要
目的 研究在肝硬化腹水患者中开展护理干预对其患者并发症发生率、护理满意度以及预后效果的改善情况。方法 选取在我院接受治疗的肝硬化腹水患者35例，分组采取随机数字表法，共分成观察组18例和对照组17例，对照组给予常规护理干预，观察组开展预见性护理干预，对比分析两组护理效果。结果 观察组患者遵医行为改善效果均优于对照组，腹水减少50%、尿量恢复以及住院所用时间与对照组相比均缩短，患者肝功能各指标改善效果与对照组相比占据优势，患者并发症发生率低于对照组，最终患者生活质量和护理满意度评分均高于对照组，（P＜0.05）。结论 将预见性护理应用于肝硬化腹水管理中，可提升患者的身心舒适度与配合度，减轻肝功能损伤程度，及减少并发症发生，提高护理满意度。
关键词： 肝硬化；腹水；护理干预；并发症；护理满意度；预后效果
Abstract
Objective To study the improvement of nursing intervention on the incidence of complications, nursing satisfaction and prognosis in patients with cirrhosis ascites. Methods 35 cases of cirrhotic ascites treated in our hospital were selected and divided into observation group (18 cases) and control group (17 cases) by random number table method. The control group received routine nursing intervention, and the observation group received predictive nursing intervention. The nursing effect of the two groups was compared and analyzed. Results The improvement effect of compliance behavior in observation group was better than that in control group, ascites was reduced by 50%, urine volume was recovered, and the length of hospitalization was shortened compared with the control group. The improvement effect of various indexes of liver function of patients was superior compared with the control group, the complication rate of patients was lower than that of the control group, and the final score of patients' quality of life and nursing satisfaction were higher than that of the control group (P < 0.05). Conclusion The application of predictive nursing in the management of ascites of cirrhosis can improve the physical and mental comfort and cooperation of patients, reduce the degree of liver function injury, reduce the occurrence of complications, and improve nursing satisfaction.
Key words： Cirrhosis; Ascites; Nursing intervention; Complications; Nursing satisfaction; Prognostic effect
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