摘要
目的探讨急性病理学与慢性健康状况评分(APACHEⅡ)在重型肝炎患者护理中的应用效果。方法对156例重型肝炎患者应用APACHEⅡ评分,分析评分对预后的预测价值,并根据评分结果指导护理工作安排和护理措施的制定。结果156例重型肝炎患者APACHEⅡ评分为13～67分,平均(33.4±11.2)分,其中98例治愈患者评分为13～24分,平均(15.8±6.4)分,41例好转患者评分为29～42分,平均(31.6±4.8)分,17例死亡患者评分为43.6～67分,平均(48.55±10.3)分。根据该评分结果调整护理措施后,患者平均医疗费用、住院时间、住院期间并发症均减少,患者对护理工作满意度均明显上升。结论APACHEⅡ评分系统应用于重型肝炎患者护理工作,能在一定程度上评价疾病的严重程度和预测预后,并可更好地指导护理人力资源的合理配置和实施相应的护理措施,从而提高护理质量及患者对护理工作的满意度。
Objective To study the application of APACHE Ⅱ in setting up nursing care strategy for patients with severe hepatitis. Methods APACHE Ⅱ scoring system was used to assess 156 patients with severe hepatitis, and the scores were used to predict the prognosis of patients with severe hepatitis. The scoring results were also used to guide the nursing care service and the establishment of nursing measures. Results The APACHE Ⅱ score was 13-67 （33. 4± 11.2） for the 156 patients with severe hepatitis,13-24（15.8±6.4）for the 98 cured cases, 29-42（31.6±4.8） for the 41 improved cases, and 43.6-67（48.5±10.3）for the 17 death cases. After the nursing care job was adjusted according to the score, the average fee of hospitalization, the average hospital stay, and the incidence of complication during hospitalization were all decreased, and the patients had a higher satisfaction rate to the nursing service. Conclusion APACHE Ⅱ can be used to assess the severity and predict the prognosis of patient with severe hepatitis, and can help to optimize the disposition of nursing staff and exercise better nursing service, so as to improve the quality of nursing care and the satisfactory rate about the nursing service.
出处
《解放军护理杂志》
2007年第09B期37-38,共2页
Nursing Journal of Chinese People's Liberation Army
