临床护理路径在肝硬化失代偿期患者中运用效果的观察.docVIP

临床护理路径在肝硬化失代偿期患者中运用效果的观察 【摘要】 目的 探讨临床护理路径在肝硬化失代偿期患者中运用的效果。方法 90例肝硬化失代偿期患者， 随机分为实验组与对照组， 每组45例。观察组实施临床护理路径， 对照组实施常规护理；对两组患者采用护理服务满意度调查表、健康知识掌握调查表进行测评， 并统计两组患者的并发症发生情况。结果 观察组并发症发生率为4.4%明显低于对照组的24.4%（P0.05）。观察组健康教育知识掌握为97.8%， 显著高于对照组的82.2%（P0.05）。观察组满意度为100.0%高于对照组的82.2%（P0.05）。　　结论 临床护理路径为肝硬化失代偿期患者提供了更有效的护理服务， 提高了患者满意度和健康知识掌握程度， 有助于减少并发症的发生。　　DOI：10.14163/j.cnki.11-5547/r.2016.22.148　　Observation of application effect by clinical nursing pathway in decompensated hepatic cirrhosis patients HE Zheng-ying， MA Yan， LIAO Xiu-hua. Guangdong Huizhou City Sixth People’s Hospital， Huizhou 516211， China　　【Abstract】 Objective To investigate application effect by clinical nursing pathway in decompensated hepatic cirrhosis patients. Methods A total of 90 decompensated hepatic cirrhosis patients were randomly divided into experimental group and control group， with 45 cases in each group. The observation group received clinical nursing pathway， and the control group received conventional nursing. Both groups received evaluation by nursing service satisfaction questionnaire and health knowledge questionnaire， and their complications were summarized. Results The observation group had obviously lower incidence of complications as 4.4% than 24.4% of the control group （P0.05）. The observation group also had much higher health knowledge rate as 97.8% than 82.2% of the control group （P0.05）. Satisfaction degree was higher in the observation group as 100.0% than 82.2% in the control group （P0.05）. Conclusion Clinical nursing pathway provides much effective nursing service for decompensated hepatic cirrhosis patients. This method improves satisfaction and health knowledge in patients， and it is helpful to reduce complications.　　【Key words】 Clinical nursing pathway； Hepatic cirrhosis； Decompensated period　　近年来糖尿病已成为一种慢性流行性疾病， 2型糖尿病的发病率呈逐年上升趋势， 胰岛B细胞功能衰退是2型糖尿病的重要病理基础， 胰岛素分泌不足及胰岛素抵抗是其主要发病机制[1]。西格列汀为二基肽酶4抑制剂， 是一类新的降糖药物， 可保护胰岛细胞功能， 平稳降糖， 减少血糖漂移。观察了西格列汀联合格列喹酮治疗2型糖尿病的疗效， 进行了相关研究。现报告如下。　　1 资料与方法　　1.