临床护理路径在病毒性肝炎肝硬化并消化道出血中的应用观察

目的研究分析临床护理路径在病毒性肝炎肝硬化并消化道出血中的应用效果。方法选取90例病毒性乙型肝炎肝硬化合并消化道出血确诊患者作为研究对象,依据随机数法分成2组,各45例。对照组给予常规护理干预,观察组给予临床护理路径干预模式,统计对比2组患者护理前后肝功能,丙氨酸转氨酶(ALT)、血清谷草转氨酶(AST)检测指标,VAS评分,消化道停止出血时间、住院时间以及预后生活质量。结果护理干预前,2组患者的ALT及AST检测指标比较差异无统计学意义(P0.05),护理后6个月,2组患者的肝功能指标(ALT、AST)均有显著改善,并且观察组肝功能指标改善水平优于对照组(P0.05);相较于对照组,观察组患者的VAS评分更低、消化道停止出血以及住院时间更短(P0.05),观察组患者的预后生活质量高于对照组(P0.05)。结论病毒性乙型肝炎肝硬化合并消化道出血患者应用临床护理路径干预措施能够有效改善患者的肝功能指标水平,降低疼痛程度,缩短消化道出血症状及住院时间,利于提升患者预后生活质量。

Application of clinical nursing pathways in viral hepatitis cirrhosis patients combined with gastrointestinal hemorrhage

Objective To explore the effect of comprehensive nursing intervention on ICGR15, psychological ability and self-care ability of patients with hepatocellular carcinoma treated by transcatheter hepatic arterial chemoembolization.Methods A total of 90 patients with viral hepatitis B cirrhosis complicated with gastrointestinal hemorrhage treated in our hospital were selected as the subjects.And they were randomly divided into two groups according to random number method, with 45 cases per group.Patients in the control group were given routine nursing intervention, and the observation group was given clinical nursing pathway intervention mode.Liver function indicators such as Alanine Transaminase and Aspartate transaminase, VAS score, and gastrointestinal bleeding time, length of stay and prognosis of quality of life before and after care were compared.Results There was no significant difference in ALT and AST between the two groups before treatment (P>0.05);After 6 months of treatment, the liver function indexes (ALT and AST) of the two groups were significantly improved, and the improvement in the observation group was better than that in the control group (P<0.05);Compared with the control group, the VAS score of the observation group was lower, the bleeding stopped and the hospitalization time was shorter, the differences were statistically significant (P<0.05);The quality of life of the patients in the observation group was higher than that in the control group (P<0.05).Conclusion The application of clinical nursing pathways in patients with viral hepatitis B cirrhosis complicated with gastrointestinal bleeding can effectively improve the level of liver function, reduce the degree of pain, shorten the symptoms of gastrointestinal bleeding and hospital stay, and improve the quality of life, so it is worth promoting.