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目的初步探讨酒精性肝功能衰竭患者的临床护理方法及效果。方法以2005年1月至2014年1月首都医科大学附属北京地坛医院收治的65例酒精性肝功能衰竭患者为研究对象,观察治疗和护理效果。结果 65例患者中好转21例,无效12例,自动出院2例,病死30例。结论结合酒精性肝功能衰竭病程短,预后差,护理难的特点,需建立新型的护患关系,护士应主动与医生沟通反馈,严密观察病情,正确评估,制定相应护理计划,全面了解患者病情及心理变化,及时发现和护理酒精戒断综合征,使治疗方案准确有效的实施,加强安全护理和临终关怀,将护理理论与实践及人文关怀进行有力的结合。
Objective To investigate the clinical nursing methods and effect of patients with alcoholic liver failure. Methods From January 2005 to January 2014, 65 patients with alcoholic liver failure admitted to Beijing Ditan Hospital, Capital Medical University were enrolled in this study. The treatment and nursing effects were observed. Results Of the 65 patients, 21 were improved, 12 were ineffective, 2 were discharged automatically, and 30 died. Conclusions Combined with the short duration of alcoholic liver failure, poor prognosis and poor nursing care, a new type of nurse-patient relationship needs to be established. Nurses should take the initiative to communicate with doctors, closely observe the condition, correctly evaluate and make corresponding nursing plans to fully understand the patient’s condition And psychological changes, timely detection and care of alcohol withdrawal syndrome, so that the treatment program is implemented accurately and effectively, strengthen safety care and hospice care, nursing theory and practice and humanistic care for a strong combination.