Cui Mei, Sun Meihong, Bu Lu
Endoscopy Center, Haian People's Hospital Nantong, Jiangsu, China.
Digestive Internal Medicine, Affiliated Hospital of Nantong University Nantong, Jiangsu, China.
Am J Transl Res. 2021 Jun 15;13(6):6973-6979. eCollection 2021.
The goal of the present study was to explore and analyze the effect of comfort care on liver function and nursing satisfaction of patients with liver cirrhosis.
A total of 122 patients with liver cirrhosis addmitted to our hospital from June 2018 to June 2020 were equally divided into a general care group (GC) and a comfort care group (CC) according to the principle of randomization. Routine care intervention was given in the GC group, and the CC group received both comfort care intervention and routine care intervention. The care effects regarding liver function and nursing satisfaction, etc. were analyzed and compared between the two groups.
After care, both SAS score and SDS score in the two groups decreased, and the CC group had better scores of SAS and SDS as compared to the GC group (P<0.05). After care, the ALT and AST levels of the two groups all decreased. In the GC group, the ALT and AST demonstrated significantly better levels than those in the GC group (P<0.01). After care, each aspect in the CC group had better scores as compared to that in the GC group (P<0.05). After care, in the CC group, all the physiology, psychology, society and other index scores were significantly better than those in the GC group (P<0.05). Patients in the CC group had higher treatment compliance scores in comparison to patients in the GC group [(89.86±6.45) vs (64.46±13.75), P<0.01]. In the CC group, the nursing satisfaction (93.44%) was significantly higher than 78.69% in the GC group (P<0.01).
Comfort care is a preferred nursing method for patients with liver cirrhosis in terms of elimination of negative emotions, recovery of liver function, quality of life improvement, treatment compliance, and nursing satisfaction.
本研究旨在探讨和分析舒适护理对肝硬化患者肝功能及护理满意度的影响。
选取2018年6月至2020年6月我院收治的122例肝硬化患者，按照随机化原则将其分为常规护理组（GC组）和舒适护理组（CC组），每组各61例。GC组给予常规护理干预，CC组在常规护理干预的基础上给予舒适护理干预。比较两组患者的肝功能及护理满意度等护理效果。
护理后，两组患者的SAS评分和SDS评分均降低，且CC组的SAS和SDS评分低于GC组（P<0.05）。护理后，两组患者的ALT和AST水平均降低，且CC组的ALT和AST水平低于GC组（P<0.01）。护理后，CC组各方面评分均高于GC组（P<0.05）。护理后，CC组的生理、心理、社会等各项指标评分均显著高于GC组（P<0.05）。CC组患者的治疗依从性评分高于GC组[（89.86±6.45）分 vs（64.46±13.75）分，P<0.01]。CC组的护理满意度（93.44%）显著高于GC组的78.69%（P<0.01）。
舒适护理在消除肝硬化患者负面情绪、恢复肝功能、提高生活质量、提升治疗依从性及护理满意度等方面是一种较为理想的护理方式。
