Abstract:Objective To analyze the effect of the implementation of the doctor-nurse group responsibility system on the liver function and quality of life of patients with cirrhosis ascites. Methods A total of 92 patients with cirrhosis ascites in our hospital from July 2019 to January 2021 were selected and divided into a study group (n=46) and a control group (n=46) according to the random number table method. The control group received routine nursing, while the study group received the doctor-nurse group responsibility system on the basis of the control group. The medical compliance behavior (reasonable diet, smoking and alcohol cessation, medication as prescribed, reasonable exercise, and regular review), liver function , and quality of life (physiological function and psychological function) before and after intervention were compared between the two groups. Results In the study group, the rational diet rate of 95.65% (44/46), smoking and alcohol abstinence rate of 91.30% (42/46), medication rate of 95.65% (44/46), reasonable exercise rate of 91.30% (42/46), and regular review rate of 100.00% (46/46) were higher than those in the control group: 73.91% (34/46), 69.57% (32/46), 76.09% (35/46), 63.04% (29/46), and 71.74% (33/46) (all P<0.05). After the intervention, ALT and AST in the study group were (30.68±4.13) U/L and (33.72±4.03) U/L, which were lower than those in the control group: (46.26±4.59) U/L and (52.08±4.46) U/L, respectively (t=17.114, t=20.716, both P<0.001). After the intervention, the scores of physiological function and psychological function in the study group were (19.56±1.78) and (19.23±1.68), which were higher than those in the control group: (15.56±1.39) and (15.74±1.42), respectively (t=12.013, t=10.761, both P<0.001). Conclusion The application of the doctor-nurse group responsibility system in the treatment of patients with cirrhosis ascites can improve their compliance behaviors, liver functions, and quality of life.
周方圆. 肝硬化腹水治疗中实施医护同组责任制的效果观察[J]. 中国校医, 2022, 36(11): 838-840.
ZHOU Fang-yuan. Observation of effect of implementation of doctor-nurse group responsibility system in treatment of liver cirrhosis ascites. Chinese Journal of School Doctor, 2022, 36(11): 838-840.