摘要目的 探讨医护同组责任制护理对肝硬化患者预后及生活质量的影响.方法 2014年1月至2015年12月选取本院收治的80例肝硬化患者,根据抽签法将患者分为对照组(n=40)及观察组(n=40),对照组给予常规性护理,观察组给予医护同组责任制护理,对比分析两组患者干预前后肝功能及生活质量改善情况,记录两组患者遵医行为情况.结果 观察组干预3个月后总胆红素(TBIL)、谷草转氨酶(AST)、谷丙转氨酶(ALT)水平均低于对照组(均P＜0.05).观察组按时服药、合理休息、饮食调整、戒烟戒酒、合理运动、定期复查等方面遵医行为比率均高于对照组(均P＜ 0.05).观察组躯体功能、社会功能、心理功能、物质功能及总评分均高于对照组(均P＜ 0.05).结论 医护同组责任制护理能有效提高肝硬化患者遵医行为,改善患者肝功能,提高患者生活质量.

abstractsObjective To investigate the effect of primary nursing with doctor-nurse in the same group on the prognosis and quality of life of patients with cirrhosis.Methods 80 cases of liver cirrhosis in our hospital from January 2014 to December 2015 were randomly divided into control group (n=40) and observation group (n=40).The control group received routine nursing,while the observation group received primary nursing with doctor-nurse in the same group.The liver function and quality of life of the two groups were compared.The behavior of following doctor's instruction of the two groups were recorded.Results The levels of total bilirubin (TBIL),aspartate aminotransferase (AST),alanine aminotransferase (ALT) of observation group after 3 months were lower than those of control group (P＜0.05).The rate of compliance behavior such as taking medicine on time,reasonable rest,diet adjustment,abstaining from tobacco and drink,reasonable exercise,regular review of observation group were higher than those of control group (P＜0.05).The scores of physical function,social function,mental function,substance function,and the total scorc of observation group were higher than those of control group (P＜0.05).Conclusion Primary nursing with doctor-nurse in the same group can improve compliance behavior of patients with cirrhosis,improve liver function,and improve the quality of life of patients.