综合护理干预对消化道出血消化内镜治疗后再出血的影响

Effects of Comprehensive Nursing Intervention on Bleeding after Endoscopic Treatment of Digestive Tract Hemorrhage

目的探讨综合护理干预对消化道出血消化内镜治疗后再出血的影响.方法：选取我院2012年10月～2014年4月采用消化内镜治疗的消化道出血患者126例,随机分为干预组和对照组,对照组（n=58例）给予常规护理,观察组（n=68）在常规护理的基础上加心理护理、健康教育和饮食指导或根据患者具体情况给予综合护理.观察两组患者消化内镜治疗后再出血率、平均再出血量、死亡率和平均住院时间以及再出血诱因并进行比较.结果：干预组患者再出血率（8.82%）和死亡率（0）均明显低于对照组（22.4%,3.45%）,平均再出血量（105.40±11.81）ml明显少于对照组（228.72±30.97）ml,平均住院时间（7.64±2.58）d明显短于对照组（12.94±3.62）d,差异均有统计学意义（P〈0.05）,再出血诱因以饮食不当（57.89%）为主,其次为受凉（21.05%）.结论：对采用消化内镜治疗后的消化道出血患者给予综合护理干预,可缩短患者住院时间,降低再出血率,有利于提高患者生存率.

Objective: To To study the comprehensive nursing intervention for the treatment of digestive endoscopy of gastrointestinal bleeding after the effects of hemorrhage.Methods:From October 2012 to April 2014 the digestive endoscopic treatment of 126 cases of patients with gastrointestinal bleeding,were randomly divided into intervention group and control group, control group(n=58) given routine nursing care,observation group(n=68) on the basis of conventional nursing and psychological nursing,health education and dietary guidance or give comprehensive nursing care on the basis of the condition of the patients. Watch again after two groups of patients with digestive endoscopic treatment of bleeding rate,average blood loss,mortality rate and the average hospitalization time and again cause rebleeding and comparison.Results:The intervention group patients bleeding rate(8.82%) and mortality(0) were significantly lower than the control group(22.4%,22.4%),the average blood loss(105.40±11.81) again ml significantly less than the control group(228.72±30.97) for ml,the average length of hospital stay(7.64±2.58) d obviously shorter than the control group(12.94±3.62) d, differences were statistically significant(P<0.05), bleeding again cause is given priority to with improper diet(57.89%), followed by a cold(21.05%).Conclusion:Adopting the digestive endoscopic treatment of patients with gastrointestinal bleeding after giving comprehensive nursing intervention can shorten in-hospital time,reduce the bleeding rate,improve patient surial rates,can be applied in clinical nursing after digestive endoscopic treatment actively. (P<>0.05).