TST术后大出血的原因分析及护理对策

Cause analysis and nursing countermeasures of massive hemorrhage after TST operation

目的:分析TST术后大出血的原因及护理对策。方法:收治接受TST手术治疗的患者52例,随机平分两组。观察组实施综合护理干预,参照组实施常规护理干预。分析患者TST术后大出血发生的原因。比较不同护理干预方式下患者的止血时间、护理满意度。结果:患者出血的原因主要包含手术因素、器械因素、患者自身凝血功能障碍因素以及基础疾病因素等。观察组止血时间(6.62±2.33)h,参照组(10.65±3.03)h,差异有统计学意义(P<0.05)。参照组临床护理满意率76.92%,观察组96.15%,差异有统计学意义(P<0.05)。结论:TST术后大出血的原因多为手术因素、器械因素以及患者个人因素等,为患者实施综合护理干预,有助于缩短患者的止血时间,提升患者的临床护理满意率,降低患者各类不良问题发生率。

Objective:To analyze the causes of massive hemorrhage after TST and nursing countermeasures.Methods:A total of 52 patients treated with TST were treated.They were randomly divided into the two groups on average.We analyzed the causes of massive bleeding after TST.Patients in the observation group were given comprehensive nursing interventions and routine nursing interventions were performed in the reference group.We compared the hemostatic time and nursing satisfaction of patients under different nursing interventions.Results:The main causes of bleeding include surgical factors,instrument factors,patients' own coagulation dysfunction factors and basic disease factors.In the observation group,the hemostasis time was(6.62±2.33)h and the reference group was(10.65±3.03)h,and the difference was statistically significant(P<0.05).The clinical nursing satisfaction rate of patients in the reference group was 76.92%,the observation group was 96.15%,and the difference between groups was statistically significant(P<0.05).Conclusion:The causes of massive hemorrhage after TST are mainly manifested in surgical factors,instrument factors and individual factors.The implementation of comprehensive nursing intervention for patients is helpful to shorten the bleeding time of patients,improve the patient's clinical nursing satisfaction rate,reduce the incidence of all kinds of adverse problems of patients.