循证综合护理干预对上消化道出血患者的疗效观察

Efficacy of evidence based nursing on patients with upper gastrointestinal bleeding

目的:上消化道出血患者采用循证护理方案的应用效果。方法:将在我院就诊并治疗的上消化道出血的患者134例,按照随机分组,对照组给予常规的消化内科护理,观察组给予循证护理干预措施,观察两组临床护理的效果。结果:观察组患者上消化道出血的止血时间优于对照组,住院时间短于对照组,采用卡方检验比较,差异有统计学意义(P<0.05)。观察组焦虑自评量表的评分和抑郁自评量表评分的改善情况均比对照组明显,差异具有统计学意义(P<0.05)。结论:采用循证护理干预措施应用于上消化道出血患者中可以有效改善患者焦虑抑郁心理状态,缩短止血时间和住院时间,提高临床护理满意度,值得在临床上大力推广使用。

Objective To explore the efficacy of evidence based nursing intervention applied to patients with upper gastrointestinal bleeding. Methods A total of 134 patients with upper gastrointestinal hemorrhage were randomized into observation group and control group, control group using conventional care plan of clinical nursing, observation group using evidence-based nursing intervention. We observed two groups in bleeding time, hospitalization time, anxiety state,improvement and clinical nursing satisfaction. Results Hemostatic time, hospitalization time and clinical nursing satisfaction in observation group were better than those in control group,with a statistically significant difference（P〈 0.05）. After nursing anxiety self-evaluation scale score and depression self rating scale score improvement in observation group was better than those of control group, with a statistically significant difference（P〈0.05）. Conclusions Evidence- based nursing interventions used in the patients with upper gastrointestinal hemorrhage can effectively improve the patients＇ anxiety depression state of mind, shorten the bleeding time and hospitalization time, improve the clinical nursing satisfaction, which is worthy of promotion in clinic.