Wei Fang, Tan Haihong, He Yubiao, Shu Xin
Department of Infection, Xiangya Second Hospital, Central South University, Changsha, Hunan Province 410011, China.
Emerg Med Int. 2022 Aug 24;2022:4446215. doi: 10.1155/2022/4446215. eCollection 2022.
Hepatic encephalopathy (HE) is a serious complication caused by liver disease and is one of the leading causes of death in patients. Studies have shown that proper emergency care for patients after the occurrence of HE can improve their prognosis and quality of life. Therefore, this study focuses on the effect of optimizing the emergency care process on the effectiveness and prognosis of emergency care for patients with hepatic encephalopathy. In this study, we set 32 patients with HE admitted to receive routine emergency care between May 2020 and March 2021 as the control group and 34 patients with HE admitted to receive optimized emergency care processes between April 2021 and February 2022 as the observation group. The satisfaction of patients' families with this care was assessed using a self-administered nursing satisfaction questionnaire to record the outcome of emergency care, quality of care, and prognosis of patients in the two groups of palliative care. The data collected were analyzed using SPSS17.0 software, and the results showed that the time spent on diagnosis, resuscitation, DTP, and DTT was much lower in the observation group than in the control group, and the scores related to the quality of care, such as ambulance technique, humanistic care, resuscitation efficiency, and resuscitation effect, were all higher than those of the control group, and the satisfaction of the family members in the observation group was also significantly higher than that of the control group ( < 0.05). The success rate of first aid in the observation group was 100.00%, which was higher than 93.72% in the control group, but the difference between the two groups was not significant ( > 0.05). It can be seen that the application of an optimized emergency nursing process in HE patients is effective, which can effectively improve the success rate of HE resuscitation, shorten the resuscitation time and condition diagnosis, improve the resuscitation effect, improve the quality of nursing care, and improve the prognosis of patients to a certain extent.
肝性脑病（HE）是一种由肝脏疾病引起的严重并发症，也是患者死亡的主要原因之一。研究表明，对发生HE后的患者进行适当的急救护理可改善其预后和生活质量。因此，本研究聚焦于优化急救护理流程对肝性脑病患者急救效果及预后的影响。本研究将2020年5月至2021年3月收治的32例接受常规急救护理的HE患者设为对照组，将2021年4月至2022年2月收治的34例接受优化急救护理流程的HE患者设为观察组。采用自行设计的护理满意度调查问卷评估患者家属对该护理的满意度，以记录两组姑息护理中患者的急救结果、护理质量及预后情况。收集的数据采用SPSS17.0软件进行分析，结果显示，观察组在诊断、复苏、DTP及DTT上花费的时间远低于对照组，与护理质量相关的评分，如急救技术、人文关怀、复苏效率及复苏效果等均高于对照组，观察组家属的满意度也显著高于对照组（<0.05）。观察组的急救成功率为100.00%，高于对照组的93.72%，但两组间差异无统计学意义（>0.05）。可见，优化急救护理流程应用于HE患者是有效的，可有效提高HE复苏成功率，缩短复苏时间及病情诊断时间，提高复苏效果，提升护理质量，并在一定程度上改善患者预后。
