预见性与针对性护理在肝硬化合并上消化道出血患者中应用的临床观察

Application of anticipatory and purposeful nursing care in the patients of cirrhosis with upper gastrointestinal hemorrhage

目的:观察并分析预见性与针对性护理在肝硬化合并上消化道出血患者中应用的临床效果。方法:选择同期住院治疗的肝硬化合并上消化道出血患者62例,随机均分为对照组(n=31例)和观察组(n=31例),对照组采取常规专科护理措施,观察组在上述护理措施基础上加行预见性与针对性护理,连续治疗2周后比较两组患者治疗前后焦虑量表(HAMA)与抑郁量表(HAMD)评分,同时采用健康状况调查问卷(SF-36)比较两组患者的生存质量。结果:两组患者治疗2周后HAMA评分、HAMD评分与SF-36评分比较,差异均具有统计学意义(P<0.05),观察组均优于对照组。结论:在肝硬化合并上消化道出血患者的临床护理中,应积极加行预见性与针对性护理,可有效配合临床治疗,改善患者预后。

Objective：To observe and analyze the clinical effect of the anticipatory and purposeful nursing care in patients of cirrhosis with upper gastrointestinal hemorrhage（UGI）.Methods：Sixty-two cases of cirrhosis with UGI enrolled in our hospital were selected and divided into control group（31cases）and observation group（31cases）randomly.The conventional nursing measures were given to patients in control group while the anticipatory and purposeful nursing care was given additionally to observation group.Before and after successive treatment for two weeks,the HAMA and HAMD grades were calculated,and questionnaire surveys of physical condition of the patients（SF-36）were conducted to compare the life quality of patients between the two groups.Results：The grades of HAMA,HAMD and SF-36 after treatment were significantly different with those before treatment（P 0.05）,and the observation group was superior to the control group.Conclusion：Anticipatory and purposeful nursing care is beneficial for clinical treatment and prognosis in patients of cirrhosis with UGI.