Compound nutritional therapy promote pressure ulcers healing on patients with end-stage liver disease / 中国实用护理杂志

ABSTRACT

Objective To study the effect of compound nutritional therapy on end-stage liver disease patients with pressure ulcers at Ⅱ phase got from outside the hospital. Methods A total of 101 end-stage liver disease patients with Ⅱ phase pressure ulcers were divided into the observation group (50 cases) and the control group (51 cases) by random digits table method. The control group was treated by conventional diet and drug, and the treatment group was treated by compound nutritional therapy except the conventional diet and drug. The pressure ulcers were assessed daily and the patients were reviewed weekly during treatment. The outcomes of the difference of wound healing and nutritional status improving were compared between the two groups. Results After 14 d treatment, the total of wound healing cure rate was 42.6% (29/68), the total effective rate was 94.1% (64/68) in the observation group, the total of wound healing cure rate was 27.6%(18/65), the total effective rate was 73.8%(48/65) in the control group, and there was significant difference between two groups (χ2=12.726, P=0.005). The healing time was (12.87±2.46) d in the observation group, significantly shorter than that in the control group (17.26±3.51) d, there was significant difference (t=2.760, P=0.005). Conclusions For the end-stage liver disease patients with pressure ulcers at Ⅱ phase got from outside the hospital, compound nutrition therapy can improve the nutritional status, promote the pressure ulcers healing, reduce the economic burden and improve the overall curative effect.