晚间护理干预对肝硬化消化道出血患者影响的探析

Investigation of influence by night nursing intervention on liver cirrhosis gastrointestinal bleeding patients

目的研究晚间护理干预应用于肝硬化消化道出血患者中的意义。方法 86例肝硬化消化道出血患者,以随机原则分为对照组与观察组,各43例。对照组实施一般护理,观察组在对照组基础上予以晚间护理干预。观察两组出血停止时间、住院时间、护理依从性以及复发情况。结果对照组出血停止时间及住院时间分别为(26.49±5.67)h、(16.74±6.82)d,观察组出血停止时间及住院时间分别为(19.82±4.15)h、(10.14±4.28)d,观察组出血停止时间及住院时间均明显短于对照组,差异具有统计学意义(P<0.05);观察组复发率为4.65%,明显低于对照组的18.60%,差异具有统计学意义(P<0.05);观察组护理总依从率为95.35%,明显高于对照组的79.07%,差异具有统计学意义(P<0.05)。结论晚间护理干预应用于肝硬化消化道出血患者中的临床价值较高,能够有效改善患者护理依从性,控制病情发展,缓解其痛苦,缩短住院时间,降低复发风险,值得推广。

Objective To research significance of night nursing intervention applied in liver cirrhosis gastrointestinal bleeding patients. Methods A total of 86 patients with liver cirrhosis gastrointestinal bleeding were randomly divided into control group and observation group, with 43 cases in each group. The control group received general nursing, and the observation group also received additional night nursing intervention. Observation was made on bleeding stop time, hospital stay time, nursing compliance and recurrence condition between the two groups. Results The control group had bleeding stop time and hospital stay time as（26.49±5.67） h and（16.74±6.82） d, which were respectively（19.82±4.15） h and（10.14±4.28） d in the observation group. The observation group had obviously shorter bleeding stop time and hospital stay time than the control group, and their difference had statistical significance（P〈0.05）. The observation group had much lower recurrence rate as 4.65% than 18.60% in the control group, and the difference had statistical significance（P〈0.05）. The observation group had obviously higher total compliance rate as 95.35% than 79.07% in the control group, and the difference had statistical significance（P〈0.05）. Conclusion Implement of night nursing intervention in patients with liver cirrhosis gastrointestinal bleeding contains high clinical value. This method can effectively improve nursing compliance in patients, suppress disease progress, relieve pain, shorten hospital stay time and decrease recurrent risk. It is worth promoting.