中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
17期
68-70
,共3页
综合性护理干预%肝硬化%上消化道出血%情绪
綜閤性護理榦預%肝硬化%上消化道齣血%情緒
종합성호리간예%간경화%상소화도출혈%정서
Comprehensive nursing intervention%Liver cirrhosis%Upper gastrointestinal bleeding%Emotion
目的：观察综合性护理干预在肝硬化合并上消化道出血患者中的应用效果。方法：选择本院2012年3月-2014年9月收治的60例肝硬化合并上消化道出血患者作为研究对象，分为两组。对照组采取常规护理，观察组采取综合性护理干预，比较两组抢救成功率、并发症发生率、出血量、住院时间、护理满意度及半年再出血率。结果：观察组护理期间出血量及住院时间均低于对照组，护理满意度评分高于对照组，差异均有统计学意义（P<0.05）。两组抢救成功率比较无明显差异（P>0.05）；观察组再出血率及并发症发生率均低于对照组（P<0.05）。结论：综合性护理在肝硬化合并上消化道出血患者中的应用可有效改善患者身心状态，尽快止血并降低并发症发生率与再出血率，改善预后，效果显著。
目的：觀察綜閤性護理榦預在肝硬化閤併上消化道齣血患者中的應用效果。方法：選擇本院2012年3月-2014年9月收治的60例肝硬化閤併上消化道齣血患者作為研究對象，分為兩組。對照組採取常規護理，觀察組採取綜閤性護理榦預，比較兩組搶救成功率、併髮癥髮生率、齣血量、住院時間、護理滿意度及半年再齣血率。結果：觀察組護理期間齣血量及住院時間均低于對照組，護理滿意度評分高于對照組，差異均有統計學意義（P<0.05）。兩組搶救成功率比較無明顯差異（P>0.05）；觀察組再齣血率及併髮癥髮生率均低于對照組（P<0.05）。結論：綜閤性護理在肝硬化閤併上消化道齣血患者中的應用可有效改善患者身心狀態，儘快止血併降低併髮癥髮生率與再齣血率，改善預後，效果顯著。
목적：관찰종합성호리간예재간경화합병상소화도출혈환자중적응용효과。방법：선택본원2012년3월-2014년9월수치적60례간경화합병상소화도출혈환자작위연구대상，분위량조。대조조채취상규호리，관찰조채취종합성호리간예，비교량조창구성공솔、병발증발생솔、출혈량、주원시간、호리만의도급반년재출혈솔。결과：관찰조호리기간출혈량급주원시간균저우대조조，호리만의도평분고우대조조，차이균유통계학의의（P<0.05）。량조창구성공솔비교무명현차이（P>0.05）；관찰조재출혈솔급병발증발생솔균저우대조조（P<0.05）。결론：종합성호리재간경화합병상소화도출혈환자중적응용가유효개선환자신심상태，진쾌지혈병강저병발증발생솔여재출혈솔，개선예후，효과현저。
Objective:To observe the application effect of comprehensive nursing intervention on patients with liver cirrhosis and upper digestive tract bleeding.Method:60 patients with liver cirrhosis and upper gastrointestinal hemorrhage in our hospital from March 2012 to September 2014 were selected as research subjects.They were divided into two groups. The control group were given routine nursing care,the observation group were given comprehensive nursing intervention.The rescue success rate, complication rate, the amount of bleeding, hospitalization time, nursing satisfaction and the rate of rebleeding in half a year were compared between the two groups.Result:In observation group,the amount of bleeding and the hospitalization time were lower than that of the control group; The nursing satisfaction score of the observation group was significantly higher than that of the control group(P<0.05).The rescue success rate between the two groups had no significant difference (P>0.05).The rebleeding rate and complication rate of the observation group were significantly lower than that of the control group (P<0.05). Conclusion:The comprehensive nursing on patients with liver cirrhosis and upper digestive tract hemorrhage can effectively improve patients’ physical and mental state, stop bleeding, reduce the incidence of complications and the rate of rebleeding and improve the prognosis. The effect is remarkable.
