摘 要
肝硬化腹水是临床常见的慢性肝病并发症，其护理干预及并发症预防对改善患者预后具有重要意义。本研究旨在探讨系统化护理干预在肝硬化腹水患者中的应用效果及其对并发症发生率的影响。研究选取120例肝硬化腹水患者作为研究对象，随机分为对照组和干预组，各60例。对照组接受常规护理，干预组则实施包括心理支持、饮食指导、体液管理及健康教育在内的综合护理方案。通过为期6个月的随访观察，结果显示干预组患者的腹水消退时间显著缩短，生活质量评分明显提高，且并发症发生率较对照组降低35%。研究表明，系统化护理干预能够有效优化肝硬化腹水患者的病情控制，减少并发症风险，提升整体护理质量。本研究创新性地将个性化体液管理与心理干预相结合，为临床护理提供了新的思路和实践依据，对促进患者康复具有重要价值。关键词：肝硬化腹水; 系统化护理干预; 并发症预防; 体液管理; 心理支持
Abstract
Ascites due to liver cirrhosis is a common complication of chronic liver disease, and nursing intervention along with the prevention of complications plays a crucial role in improving patient prognosis. This study aimed to explore the application effects of systematic nursing intervention in patients with cirrhosis-related ascites and its impact on the incidence of complications. A total of 120 patients with cirrhosis-related ascites were selected as research subjects and randomly divided into a control group and an intervention group, each consisting of 60 cases. The control group received routine care, while the intervention group underwent a comprehensive nursing program that included psychological support, dietary guidance, fluid management, and health education. Through a six-month follow-up observation, the results demonstrated that the time for ascites resolution was significantly shortened, quality-of-life scores were markedly improved, and the incidence of complications was reduced by 35% in the intervention group compared to the control group. The study indicates that systematic nursing intervention can effectively optimize disease control in patients with cirrhosis-related ascites, reduce the risk of complications, and enhance overall nursing quality. Innovatively, this study combined personalized fluid management with psychological intervention, providing new insights and practical evidence for clinical nursing, which holds significant value in promoting patient recovery.Key words:Liver Cirrhosis Ascites; Systematized Nursing Intervention; Complication Prevention; Body Fluid Management; Psychological Support
目 录
中文摘要 I
英文摘要 II
引 言 1
第1章、肝硬化腹水的护理评估 2
1.1、病情评估与监测 2
1.2、生理指标数据采集 2
1.3、护理需求分析 3
第2章、护理干预措施实施 4
2.1、饮食管理方案 4
2.2、液体平衡调控 4
2.3、心理支持策略 5
第3章、并发症预防策略 6
3.1、感染防控措施 6
3.2、肾功能保护方法 6
3.3、电解质紊乱防治 6
第4章、护理效果评价与优化 8
4.1、护理质量评估体系 8
4.2、并发症发生率分析 8
4.3、护理方案改进方向 8
结 论 10
参考文献 11
