袁玉萍

【摘要】 目的：探讨综合护理干预对酒精性脂肪肝患者的治疗效果及依从性的影响。方法：随机选取在笔者所在医院治疗的70例酒精性脂肪肝患者，将其分为观察组（35例）和对照组（35例）。观察组患者进行综合护理干预，对照组患者进行常规护理干预。观察比较两组患者的肝功能指标变化及治疗依从性。结果：干预前两组患者的各项肝功能指标（AST、ALT、TBIL/GGT）水平比较差异均无统计学意义（P>0.05）；干预后观察组患者的各项肝功能指标均显著低于对照组（P<0.05）。观察组患者的遵医效果显著优于对照组（P<0.05）。结论：对酒精性脂肪肝患者进行综合护理干预能显著改善其肝功能，提高其治疗依从性，值得临床推广。

【关键词】 酒精性脂肪肝； 综合护理干预； 治疗效果； 依从性

中图分类号 R473.5 文献标识码 B 文章编号 1674-6805（2016）6-0078-02

The Effect of the Comprehensive Nursing Intervention on Treatment Outcomes and Compliance of Patients with Alcoholic Fatty Liver/YUAN Yu-ping.//Chinese and Foreign Medical Research，2016，14（6）：78-79

【Abstract】 Objective：To discuss the effect of the comprehensive nursing intervention on treatment outcomes and compliance of patients with alcoholic fatty liver.Method：70 cases of alcoholic fatty liver treated in our hospital were divided into the observation group（35 cases） and the control group（35 cases）.The patients of the observation group were given comprehensive nursing intervention，and the patients of the control group were given routine nursing intervention.The changes in liver function and treatment compliance of two groups were observed and compared.Result：Before the intervention，the liver function（AST，ALT，TBIL，GGT） levels of patients in the two groups had no significant difference（P>0.05），but the levels of the observation group were significantly lower than the control group after the intervention（P<0.05）.The efficacy of compliance of patients in the observation group was significantly better than the control group（P<0.05）.Conclusion：The comprehensive nursing intervention can significantly improve the liver function of patients with alcoholic fatty liver，and improve their treatment compliance，it is worthy of promotion.

【Key words】 Alcoholic fatty liver； Comprehensive nursing intervention； Treatment outcomes； Compliance

First-authors address：Zhong County Peoples Hospital in Chongqing，Chongqing 404300，China

doi：10.14033/j.cnki.cfmr.2016.6.042

酒精性脂肪肝是酒精性肝病之一，指因長期大量饮酒而致的肝细胞脂肪变性。有研究显示，近年来酒精性脂肪肝的发病率呈上升趋势，已成为引起肝损伤的第二大肝脏疾病，仅次于病毒性肝炎[1]。有研究显示，综合护理干预能显著提高酒精性肝病患者的治疗依从性，有利于患者的康复及预后[2]。本研究采用综合护理干预模式对35例酒精性肝病患者进行护理，效果满意，现报告如下。

1 资料与方法

1.1 一般资料

选取2013年10月-2014年10月笔者所在医院收治的酒精性脂肪肝患者70例，根据就诊序列号的奇偶性将其分为观察组和对照组，各35例。所有患者均符合酒精性脂肪肝的诊断标准[3]，且排除有糖尿病史、病毒性肝炎、药物性肝损伤及心、肺、肾功能不全的患者。观察组患者中男30例，女5例；年龄23～65岁，平均（41.2±6.5）岁；病程4～10年，平均（6.5±3.4）年。对照组患者中男31例，女4例；年龄……