强化护理干预对内镜下食管静脉曲张套扎术疗效的影响

Clinical effects of intensified nursing intervention in patients undergoing endoscopic ligation of esophageal varices

目的研究强化护理干预在内镜下食管静脉曲张套扎术(esophageal varices ligation,EVL)治疗食管静脉曲张治疗中的临床作用.方法自2013-01,将在宁波市第四人民医院消化内科确诊为食管静脉曲张并进行内镜下套扎治疗的患者,按照随机数字表法,随机纳入强化护理组及常规护理组,截止2016-08,分别纳入112例与108例患者.针对两组患者术后出血、发热、胸部不适等并发症发生情况及临床护理满意度进行观察比较.结果两组患者在年龄、性别、食管静脉曲张严重程度、肝功能Child-Pugh分级、近期出血情况均无明显统计学差异(P>0.05).与常规护理组患者相比,强化护理组患者术后出血、发热、胸部不适等并发症发生率均显著降低(P<0.05);临床护理满意度评价显著提升(P<0.05).结论对食管静脉曲张的患者,在内镜下EVL前后进行强化的护理干预,可以显著的降低术后的并发症并提高患者对临床护理的满意度.

AIM To evaluate the clincial effects of intensified nursing in patients undergoing endoscopic ligation of esophageal varices.METHODS Patients with esophageal varices treated at Department of Gastroenterology of Ningbo Fourth People＇s Hospital from January 2013 to August 2016 were selected and randomized into two groups to receive either intensified nursing intervention（n=112） or conventional nursing（n=108）.Both groups were treated by endoscopic ligation.The incidence of postoperative complications associated with ligation such as bleeding,fever and dysphagia,and the rate of satisfaction of patients to clinical nursing were compared between the two groups.RESULTS Baseline data of patients in the two groups,such as age,gender,severity of esophageal varices,liver function（Child-Pugh grade）,and recent bleeding,had no significant difference（P〈0.05）.Compared with the conventional nursing group,the intensified nursing group had significantly reduced incidence of postoperative complications such as bleeding,fever,and dysphagia,and improved satisfaction of patients to clinical nursing（P〈0.05）.CONCLUSION For patients undergoing endoscopic ligation of esophageal varices,intensified perioperative nursing intervention can significantly reduce the incidence of postoperative complications and improve the patients＇ satisfaction to nursing care.