肝硬化合并上消化道出血患者应用综合性护理干预的效果评价

Evaluation of effects of comprehensive nursing intervention on hepatocirrhosis combined upper gastrointestinal bleeding

目的 探讨综合性护理干预对肝硬化合并上消化道出血患者的临床效果。方法 选取2012年2月～2015年1月我科收治的120例肝硬化合并上消化道出血患者作为研究对象,采用随机数字表法将所选患者分为研究组和对照组,各60例,研究组采用综合性护理干预,对照组患者采用常规对症护理,综合比较两组患者治疗总有效率、止血时间、住院时间、并发症发生率及护理满意度。结果 研究组治疗总有效率为91.7%,显著高于对照组的76.7%（P〈0.05）;研究组止血时间、住院时间均短于对照组（P〈0.05）;研究组患者出现消化道再出血、继发感染、肝性脑病等并发症发生率为8.3%,低于对照组的23.3%（P〈0.05）;研究组护理满意度显著高于对照组（P〈0.05）。结论 综合性护理干预应用于肝硬化合并上消化道出血患者疗效确切,可有效减少并发症发生,促进患者早日康复。

Objective To explore the effects of comprehensive nursing intervention on hepatocirrhosis combined upper gastrointestinal bleeding. Methods 120 patients with hepatocirrhosis combined upper gastrointestinal bleeding admitted in our department from February 2012 to January 2015 were selected as research subjects, who were randomly divided into a research group and a control group, with 60 patients in each group, The patients in the research group were given comprehensive nursing intervention, while the patients in the control group were given routine symptomatic nursing. And then, the total effective rate, hemostasis time, hospitalization time, incidence of complications and patients＇ satisfaction on nursing in two groups were compared. Results The total effective rate of patients in the research group was 91.7%, significantly higher than that of patients in the control group which was 76.7% （ P 〈 0.05）. The hemostasis time and hospitalization time of patients in the research group were shorter than those of patients in the control group （P 〈 0.05）. Incidence of complications such as gastrointestinal bleeding, secondary infection and hepatic encephalopathy of patients in the research group was 8.3%, lower than that of patients in the control group, which was 23.3%（P 〈 0.05）. Nursing satisfaction rate of patients in the research group was higher than that of patients in the control group （P 〈 0.05）. Conclusion Comprehensive nursing intervention is exactly effective on hepatocirrhosis combined upper gastrointestinal bleeding, can effectively reduce incidence of complications and promote recovery of patients.