改进护理干预措施在老年上消化道出血中的应用

Application of improved care interventions in elderly patients with gastrointestinal bleeding

目的:探讨改进护理干预措施在老年上消化道出血中的应用.方法:选取2011-01/2014-01来上虞第二人民医院治疗上消化道出血的108例老年患者,采用随机数表法将108例患者分为观察组和对照组,每组各54例.给予对照组患者常规护理,给予观察组患者改进护理干预.比较两组患者的出血量、止血时间、再出血和并发症情况,对比两组患者护理后的生活质量和患者对护理的满意度.结果:观察组患者的出血量和止血时间均少于对照组患者,观察组患者的再出血和并发症发生率均低于对照组患者,比较两组间差异具有统计学意义(P<0.05).护理后观察组患者的生活质量各项评分均优于对照组患者,比较两组间差异具有统计学意义(P<0.05).护理后观察组患者对护理的满意率为96.26%,对照组患者对护理的满意率为81.47%,观察组患者对护理的满意率显著高于对照组患者,比较两组间差异具有统计学意义(P<0.05).结论:对老年上消化道出血患者采取改进护理干预较常规护理能够改善治疗的临床疗效,提高患者的生活质量和对护理的满意度,可以在临床上进一步推广和使用.

AIM： To evaluate the application of improved nursing interventions in elderly patients with gastrointestinal bleeding. METHODS： One hundred and eight elderly patients with gastrointestinal bleeding treated at Shangyu Second People＇s Hospital from January 2011 to January 2014 were randomly divided into an observation group and a control group,with 54 cases in each group. The control group received routine care, and the observation group was given improved nursing interventions. Bleeding amount, time to achieve hemostasis, rebleeding, complications, life quality and patient satisfaction were compared between the two groups. RESULTS： Bleeding amount and time to achieve hemostasis were significantly less in the observation group than in the control group （P 〈 0.05）. Rebleeding and complication rates were significantly lower in the observation group than in the control group （P 〈 0.05）. Life quality scores were significantly higher in the observation group than in the control group （P 〈 0.05）. The rate of patient satisfaction with nursing was significantly higher in the observation group than in the control group （96.26% vs 81.47%, P 〈 0.05）. CONCLUSION： Improved nursing interventions can improve therapeutic effects, the patient＇s quality of life and satisfaction with care in elderly patients with upper gastrointestinal bleeding.