Nursing of noninvasive diagnosis of early cirrhosis with combined detection
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摘要:
目的探讨在联合检测下判断早期肝硬化无创诊断的护理路径。 方法选取2013年5月~2014年12月我院收治的疑为早期肝硬化患者80例为研究对象，均在联合检测下行无创诊断，采用随机数表法分为观察和对照组各43例，其中对照组实施常规护理模式，观察组采取临床护理路径进行干预。比较两组平均住院时间、医疗费用及护理满意度，同时记录并发症发生率及1年内再入院率。 结果观察组住院时间10.2±2.04 d、医疗费用0.67±0.26万元，与对照组比较明显较少（P<0.05），观察护理满意度高于对照组（P<0.05）；观察组并发症发生率12.5%、1年内再入院率10.0%低于对照组（P<0.05）。 结论临床护理路径应用于早期肝硬化无创诊断具有较高的临床价值，可减少患者医疗费用、住院时间，对提高远期预后水平有积极意义。 Abstract:Objective To explore the nursing path of invasive diagnosis of early cirrhosis with combined detection. Methods A total of 80 cases of patients with suspected early cirrhosis who were admitted in our hospital between May 2013 and December 2014 were selected as study objects. The noninvasive diagnosis was performed under combined detection. The patients were divided into observation and control group by random number table, 43 cases in each. The control group received routine nursing while the observation group received clinical nursing path intervention. The average hospitalization time, medical expenses and nursing satisfaction were compared between the two groups. Meanwhile, the incidence of complications and rate of readmission within 1 year were recorded. Results The hospitalization time [(10.2±2.04) d] and medical expenses [(6.7± 2.6) thousand yuan] of the observation group was significantly less than that of the control group (P<0.05). The nursing satisfaction score (84.29±5.18) in the observation group was higher than that of the control group (P<0.05); The incidence rate of complications (12.5%) and the rate of readmission in 1 year (10.0%) in the observation group were lower than those in the control group (P<0.05). Conclusion The value of clinical nursing path applied in invasive diagnosis of early cirrhosis is relatively higher. It can reduce the medical expenses and shorten length of hospital stay. It is of positive significance in improving the long-term prognosis. -
Key words:
- combined detection /
- early cirrhosis /
- noninvasive diagnosis /
- nursing
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表 1 两组住院资料比较（n=40）
组别 住院时间（d） 医疗费用（万元） 护理满意度（分） 护理前 护理后 观察组 10.2±2.04 0.67±0.26 54.78±3.76 84.29±5.18* 对照组 13.52±3.18 0.91±0.32 54.78±3.76 75.39±4.27* t 5.56 3.68 54.79±3.77 8.38 P ＜0.05 ＜0.05 0.01 ＜0.05 *P＜0.05 s 护理前. 
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表 2 两组并发症发生率比较（n=40）
并发症类型 观察组 对照组 上消化道出血 2 5 肝性脑病 0 2 肝肾综合征 1 2 自发性腹膜炎 2 4 并发症发生率 5（12.5） 13（30.9）* *P＜0.05 vs 观察组.
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