优质护理在内镜下食道静脉曲张套扎术中的应用

目的：探讨在内镜下食道静脉曲张套扎术中运用优质护理的方法和效果。方法80例因肝硬化伴上消化道出血患者，经住院治疗出血稳定后经内镜下行食道静脉曲张套扎术，随机分为普通护理组和优质护理，观察患者术后并发症发生率，统计患者术后总住院天数及套扎相关住院费用，并统计患者满意度及对治疗的认知度。结果：1．两组患者均全部成功完成手术，普通护理组术后总并发症发生率约32．5％，优质护理组约12．5％，P〈0．01；2．优质护理组患者满意度97．5％，高于普通护理组90．5％．P〈0．05．对疫病的认知度优质护理组80．0％，普通护理组62．5％，P〈0．01。3．普通护理组平均术后7．60±2．06天出院，而优质护理组平均术后650±156天出院．P〈0．05；4．普通护理组套扎相关住院费用平均7250．48±872．50元，优质护理组6500．50±725．15元，P〈0．05；5．结论：在内镜下食道静脉曲张套扎术中应用优质护理方法可以减少患者并发症发生率，降低患者住院时间及住院费用，提高患者满意度及对疾病的认知度。

Objective： To evaluate method and effect of high quality nursing service in endoscopic esophageal varix ligation. Method ： 80 cirrhosis patients with upper gastroin- testinal hemorrhage were treated by endoscopic esophageal varix ligatian after bleeding were controlled. All patients were divided into traditional nursing service group and high quality nursing service randomly. Observation target include occurrence rate of postoperation complication , length of stay hospital after operation, correlative charges, satisfaction degree and disease cognition degree of patients. Results： Endoscopic esophageal varix ligation were complished in all patients successfully. Occurrence rate of postoperation complication of tradi- tional nursing service group was higher than that of high quality nursing service group （32. 5% vs 12.5%, P 〈 O. O1 ）. Satisfaction degree of patients in high quality nersing service group was higher than that in traditional group（97.5% vs 90. 5% ,P 〈0. 05）. Disease cognition of patients in high quality nersing service group was higher than that in traditional group （80% vs 62. 5 % ,P 〈 0.05 ）. Length of stay hospital after operation in traditional group was longer than that in high quality nursing service group （7.60 ± 2.06 days vs 6. 50± 1.56 days, P 〈0. 05）. Correlative charges in traditional group was higher than that in high quality nursing service group（7250. 48 ±872. 50 yuan RMB vs 6500. 50 ±725. 15 yuan RMB, P 〈 O. 05）. Conclusion： High quality nursing service in endoscopic esophageal varix ligation can reduce occurrence rate of postoperation complication, shorten length of stay hospital, lower medical cost, and enhance satisfaction degreeand disease cognition degree of patients.