摘要
Abstract
Objective To explore the effect of combined application of PDCA mode and clinical pathway nursing for patients with cirrhotic ascites,and evaluate the impact on ascites volume,ascites degree,and complication rate.Methods A retrospective analysis was conducted on the clinical data of 90 patients with cirrhotic ascites admitted to Tongji Hospital Tongji Medical College of HUST from January 2020 to January 2022.They were divided into a control group(n =46)and an observation group(n =44)according to nursing mode.The control group applied PDCA nursing,and the observation group applied PDCA mode combined with clinical pathway nursing.The nursing effect of the two groups was compared,and the evaluation items included complication rate,ascites degree,ascites volume and liver function index.Results During the follow-up period,the complication rate in the observation group was lower than that in the control group(P<0.05).At admission,there was no significant difference in the degree of ascites between the two groups(P＞0.05);At discharge,the ascites degree in the observation group was better than that in the control group(P<0.05).At admission,there was no significant difference in ascites volume between the two groups(P＞0.05);At 3 days and 1 week after admission and at discharge,the ascites volume in the observation group was lower than that in the control group(P<0.05).At admission,there was no significant difference in liver function indicators between the control group and the observation group(P＞0.05);At discharge and 6 months of follow-up after hospitalization,liver function indexes in both groups decreased,and the liver function indexes of the observation group were lower than those of the control group(P<0.05).Conclusion The combination of PDCA mode and clinical pathway nursing for patients with cirrhotic ascites has outstanding effects on reducing ascites volume and improving the liver function of patients,and can effectively prevent potential complications.关键词
PDCA模式/临床路径护理/肝硬化腹水/腹水程度/腹水量/并发症发生率Key words
PDCA mode/Clinical pathway nursing/Cirrhotic ascites/Degree of ascites/Ascites volume/Complication rate分类
医药卫生
