CAJ | 학술논문

目的：探讨临床护理路径在预防肝硬化合并上消化道出血的临床应用意义。方法将100例肝硬化合并上消化道出血患者，随机分为实验组和对照组各50例。实验组采用临床护理路径护理，对照组给予常规护理。观察2组患者的有效止血率、用药依从性、患者的满意度及随访一年内的再次出血率等指标。结果实验组的有效止血率、用药依从性、患者的满意度均明显高于对照组，随访一年内的再次出血率显著低于对照组。结论临床护理路径在肝硬化合并上消化道出血患者的应用与实施，有助于提高住院患者的有效止血率、用药依从性、患者的满意度，同时也大大地降低了患者的再出血率。
목적：탐토림상호리로경재예방간경화합병상소화도출혈적림상응용의의。방법장100례간경화합병상소화도출혈환자，수궤분위실험조화대조조각50례。실험조채용림상호리로경호리，대조조급여상규호리。관찰2조환자적유효지혈솔、용약의종성、환자적만의도급수방일년내적재차출혈솔등지표。결과실험조적유효지혈솔、용약의종성、환자적만의도균명현고우대조조，수방일년내적재차출혈솔현저저우대조조。결론림상호리로경재간경화합병상소화도출혈환자적응용여실시，유조우제고주원환자적유효지혈솔、용약의종성、환자적만의도，동시야대대지강저료환자적재출혈솔。
Objective:To investigate the clinical significance of clinical nursing path in the prevention of cirrhosis combined with upper gastrointestinal bleeding. Methods: Divided 100 patients with upper gastrointestinal bleeding randomly into experimental group and control group with 50 cases in each. The experimental group was nursed by clinical nursing way, the control group was given routine nursing care. The indexes such as the effective hemostasis rate, drug use compliance, the patients’ satisfaction rate, the re-bleeding rate in one year follow-up and so on were observed. Results:The effective hemostasis rate, drug use compliance and the patients’ satisfaction rate of the experimental group were obviously higher than those of the control group, and the re-bleeding rate in one year follow-up of the experiment group was obviously lower than the control group. Conclusion:The application and implementation of clinical nursing path in the prevention of cirrhosis combined with upper gastrointestinal bleeding was helpful to improve the effective hemostasis rate, drug use compliance and the patients’ satisfaction rate and simultaneously decrease the re-bleeding rate.