中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
15期
81-82
,共2页
肝硬化%消化道大出血%护理%心理%满意度
肝硬化%消化道大齣血%護理%心理%滿意度
간경화%소화도대출혈%호리%심리%만의도
Cirrhosis%Gastrointestinal bleeding%Nursing%Psychological%Degree of satisfaction
目的:探讨以患者为主导的心理护理对消化道大出血患者的影响.方法:随机将80例肝硬化消化道大出血患者分为两组:对照组40例,给予常规护理;观察组40例,给予以患者为主导的心理护理干预.结果:入院48 h后两组患者状态焦虑、特质焦虑评分均有显著改善(P<0.05),但观察组改善更为明显(P<0.05).观察组满意率90.0%(36/40),明显高于对照组62.5%(25/40),不满意率仅5.0%(2/40),低于对照组22.5%(9/40),差异均有统计学意义(P<0.05).观察组并发症发生率10.0%(4/40),明显低于对照组30.0%(12/40),差异有统计学意义(字2=5.000,P=0.025).观察组入院治疗48 h内止血成功率为92.5%(37/40),高于对照组75.0%(30/40)(字2=5.29,P<0.05).结论:以患者为主导的护理干预可显著缓解消化道大出血患者焦虑,并可提高止血成功率,值得临床应用.
目的:探討以患者為主導的心理護理對消化道大齣血患者的影響.方法:隨機將80例肝硬化消化道大齣血患者分為兩組:對照組40例,給予常規護理;觀察組40例,給予以患者為主導的心理護理榦預.結果:入院48 h後兩組患者狀態焦慮、特質焦慮評分均有顯著改善(P<0.05),但觀察組改善更為明顯(P<0.05).觀察組滿意率90.0%(36/40),明顯高于對照組62.5%(25/40),不滿意率僅5.0%(2/40),低于對照組22.5%(9/40),差異均有統計學意義(P<0.05).觀察組併髮癥髮生率10.0%(4/40),明顯低于對照組30.0%(12/40),差異有統計學意義(字2=5.000,P=0.025).觀察組入院治療48 h內止血成功率為92.5%(37/40),高于對照組75.0%(30/40)(字2=5.29,P<0.05).結論:以患者為主導的護理榦預可顯著緩解消化道大齣血患者焦慮,併可提高止血成功率,值得臨床應用.
목적:탐토이환자위주도적심리호리대소화도대출혈환자적영향.방법:수궤장80례간경화소화도대출혈환자분위량조:대조조40례,급여상규호리;관찰조40례,급여이환자위주도적심리호리간예.결과:입원48 h후량조환자상태초필、특질초필평분균유현저개선(P<0.05),단관찰조개선경위명현(P<0.05).관찰조만의솔90.0%(36/40),명현고우대조조62.5%(25/40),불만의솔부5.0%(2/40),저우대조조22.5%(9/40),차이균유통계학의의(P<0.05).관찰조병발증발생솔10.0%(4/40),명현저우대조조30.0%(12/40),차이유통계학의의(자2=5.000,P=0.025).관찰조입원치료48 h내지혈성공솔위92.5%(37/40),고우대조조75.0%(30/40)(자2=5.29,P<0.05).결론:이환자위주도적호리간예가현저완해소화도대출혈환자초필,병가제고지혈성공솔,치득림상응용.
Objective:To investigate the influence of patient-led psychological nursing in gastrointestinal bleeding patients with cirrhosis. Method:80 gastrointestinal bleeding patients with cirrhosis were randomly divided into two groups.40 patients in the control group were received conventional care,40 patients in the observation group were received patient-led psychological nursing.Result:State anxiety,trait anxiety scores in the two groups improved significantly 48h after admission(P<0.05),but patients in the observation group improved more significantly(P<0.05).Satisfaction rate in the observation group was 90.0%(36/40),significantly higher than 62.5%(25/40)in the control group.No satisfaction rate was only 5.0%(2/40),lower than 22.5%(9/40)in the control group,there were statistically significant(P<0.05).Complication rate in the observation group was 10.0%(4/40),significantly lower than 30.0%(12/40)in the control group,there was significant(χ2=5.000,P=0.025).Hemostasis success rate in the observation group hospitalized 48 h was 92.5%(37/40),higher than 75.0%(30/40)in the control group(χ2=5.29,P<0.05).Conclusion:Patient-led psychological nursing can significantly alleviate anxiety in patients with gastrointestinal bleeding,and improve hemostasis success rate,worthy of clinical application.
