Effect of nursing intervention on awake time and blood ammonia levels for patients with hepatic encephalopathy treated by dialysis therapy
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摘要: 目的 探讨护理干预对透析治疗肝性脑病患者清醒时间及血氨水平的影响.方法 选取60例透析治疗肝性脑病患者,根据随机数字法分为对照组(常规护理)和观察组(护理干预)各30例,比较2组患者肝性脑病诱发因素发生率、临床疗效、清醒时间及血氨水平变化情况.结果 观察组感染、高蛋白饮食、消化道出血、电解质紊乱等肝性脑病诱发因素发生率均显著低于对照组(P＜0.05);观察组护理总有效率显著高于对照组(P＜0.05);观察组患者清醒时间显著短于对照组,护理后血氨水平显著低于对照组(P＜0.05).结论 透析治疗肝性脑病期间实施护理干预,能够有效去除肝性脑病的诱发因素,提高透析治疗的临床疗效.Abstract: Objective To study the effect of nursing intervention on awake time and blood ammonia levels for patients with hepatic encephalopathy treated by dialysis therapy.Methods A total of 60 patients with hepatic encephalopathy treated by dialysis therapy in our hospital were randomized into control group (routine nursing) and observation group (nursing intervention) according to random number method,with 30 patients per group.The incidence of induced factors of hepatic encephalopathy,the clinical efficacy of nursing,and the patients' awake time and changes of blood ammonia levels in two groups were compared.Results Compared with the control group,the incidences of induced factors of hepatic encephalopathy such as infection,high protein diet,gastrointestinal bleeding,electrolyte disturbances were significantly reduced in the observation group (P ＜ 0.05);Compared with the control group,the total effective rate of nursing was obviously increased in the observation group (P ＜ 0.05);The patients'awake time was significantly decreased and the blood ammonia levels were obviously reduced on after nursing in the observation group (P ＜ 0.05).Conclusion Nursing intervention for patients with hepatic encephalopathy can effectively remove the induced factors of hepatic encephalopathy and increase the clinical efficacy of dialysis therapy.
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Keywords:
- nursing intervention /
- dialysis therapy /
- hepatic encephalopathy
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期刊类型引用(5)
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