优质护理干预在乙型肝炎后肝硬化上消化道出血护理中的影响效果分析

Effect of high quality nursing intervention on upper gastrointestinal bleeding patients with hepatitis B and liver cirrhosis

目的探讨优质护理干预在乙型肝炎后肝硬化上消化道出血护理中的影响效果。方法收集110例乙型肝炎后肝硬化上消化道出血患者,按是否愿意接受优质护理分为2组。对照组患者给予常规内科护理,实验组患者在常规内科护理的基础上加施优质护理,比较2组患者护理效果、并发症发生情况、上消化道出血复发情况及护理满意度等。结果实验组患者经优质护理干预后护理效果显效率、护理效果总有效率及护理总满意度显著高于对照组(P<0.05);实验组患者经优质护理干预后,便秘、消化不良、并发症总发生率显著性低于对照组(P<0.01);实验组患者上消化道出血复发率显著低于对照组(P<0.05)。结论优质护理干预在乙型肝炎后肝硬化上消化道出血护理中的影响效果显著,具有护理借鉴意义。

Objective To study the quality of nursing intervention on upper gastrointestinal bleeding in patients with hepatitis B and liver cirrhosis. Methods A total of 110 patients with upper digestive tract bleeding caused by hepatocirrhosis after hepatitis B were divided into two groups accord- ing to the willingness to accept high quality nursing. The control group was given conventional medical nursing while the experimental group was given quality nursing on the basis of routine medical care. Patients＇ nursing effect, complications, recurrence of upper gastrointestinal bleeding and nursing satis- faction were compared. Results After high quality nursing intervention, nursing efficacy rate, total effective rate and total satisfaction in the experimental group were significantly higher than that in the control group （ P 〈 0.05 ）. The patients in the experimental group got better outcomes in constipation, dyspepsia, and total rate of complications than the controls after high quality nursing intervention （ P 〈 0.01 ）. The recurrence rate of gastrointestinal bleeding was lower in the experimental group than that in the control group after high quality nursing （ P 〈 0.05 ）. Conclusion The influence of high quality nursing intervention on upper gastrointestinal bleeding caused by liver cirrhosis after hepatitis B is re- markable. It is worthy of clinical application.