综合护理干预在中老年痛风合并消化道穿孔患者中的应用效果

The effect of Integrated nursing intervention in middle-aged and elderly patients with gout complicated with gastrointestinal perforation

目的研究综合护理干预对中老年痛风合并消化道穿孔患者的影响及疗效。方法选取2009年1月~2016年12月来本院治疗痛风合并消化道穿孔的老年患者60例,将其随机分为对照组和观察组各30例,给予对照组患者常规护理模式,给予观察组患者综合护理干预,观察比较2组患者不同阶段的血尿酸水平,手术情况、护理干预前后满意度。结果观察组与对照组患者出院时及出院4周后的血尿酸水平均明显低于入院时水平,并且观察组患者的血尿酸改善程度显著优于对照组,差异具有统计学意义(P<0.05)。观察组平均手术时间、术后排气时间、住院时间均较对照组短,差异具有统计学意义(P<0.05)。2组患者在护理干预前对于护理工作的满意度无明显差异(P>0.05),护理干预后观察组患者的护理满意度(96.67%)显著高于对照组(66.67%),差异具有统计学意义(P<0.05)。2组患者均未有不良反应发生。结论综合护理干预可有效降低中老年痛风合并消化道穿孔患者的血尿酸水平,改善患者住院期间的康复效果及护理满意度,值得临床广泛应用。

Objective To explore the effect of Integrated nursing intervention in in middle - aged and elderly patients with gout complicated with gastrointestinal perforation. Methods 60 patients were divided into control group and observation group, 30 patients in each group. Pa- tients in control group were treated with routine nursing model, while patiens in observstion group were treat with Integrated Nursing Intervention. Compare the effect of the two group. Results At the time of discharge and after discharge, the level of serum uric acid in observation group improvement was significantly better than the control group（ P 〈 0.05） ,The average operative time,postoperative exhaust time and hospital stay were shorter in the observation group than in the control group（ P 〈0.05 ） ,The satisfaction of the observation group was significantly higher than that of the control group （ P 〈 0.05 ）. Conclusion Integrated nursing intervention can effectively reduce the level of uric acid in middle -aged and elderly patients with gastrointestinal perforation and improve the rehabilitation effect and nursing satisfaetion.