护理干预在肝硬化并发上消化道出血患者中的应用效果

Application effect of nursing intervention in patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage

目的探讨综合护理干预在肝硬化并发上消化道出血患者治疗中的临床效果。方法选择本院收治90例肝硬化并发上消化道出血患者为观察对象,随机分为观察组48例和对照组42例,对照组给予常规护理干预,观察组在对照组的基础上给予综合护理干预,包括心理护理、饮食指导干预以及预见性护理干预。比较2组患者止血时间、出血复发率和死亡率。结果观察组止血时间明显短于对照组,观察组出血复发率明显低于对照组,2组比较差异显著(P<0.05)。结论综合护理干预能够缩短肝硬化并发上消化道出血患者的止血时间,同时降低出血复发率,可在一定程度上提高患者生存质量,值得临床推广应用。

Objective To evaluate the clinical effect of comprehensive nursing intervention in patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage. Methods A total of 90 liver cirrhosis patients complicated with upper gastrointestinal hemorrhage were selected as research objects, and were randomly divided into observation group with 48 cases and control group with 42 cases, the control group was given routine nursing intervention while the observation group was given comprehensive nursing intervention including psychological nursing, diet guidance and predictive nursing intervention on the basis of the control group. The hemostasis time, bleed- ing the recurrence rate and mortality were compared in two groups. Results The hemostasis time and hemorrhage recurrence rate in the observation group was obviously shorter and lower than that in the control group, the differences were significant （P 〈 0.05 ）. Conclusion Comprehensive nursing intervention can shorten the hemostasis time, reduce the recurrence rate of blooding and improve the quality of life in patients with liver cirrhosis complicated with upper gastrointestinal bleeding, so it is worthy of clinical popularization and application.