特级护理改善胃出血患者出血状况及舒适度的效果

Specialcare Intervention to Improve the Bleeding Condition of Patients with Gastric Hemorrhage and the Effect of Comfort

目的探究特级护理改善胃出血患者出血状况及舒适度的效果。方法选取我院消化外科2015年4月至2017年2月收治的106例胃出血患者作为研究对象,采取随机双盲法将患者分为实验组与对照组,对照组患者(53例)实施常规护理干预,实验组患者(53例)实施特级护理干预,对比两组患者临床治疗效果、出血症状消失时间及住院时间、一次性止血成功率及患者再出血率、患者不良反应情况及护理质量评分、护理满意度、舒适度,采取焦虑自评量表(SAS)及抑郁自评量表(SDS)。结果实验组治疗总有效率为100.00%,高于对照组90.57%(P<0.05);实验组患者出血症状消失时间及住院时间均短于对照组(P<0.05);实验组患者一次性止血成功率为100.00%,高于对照组90.57%,再出血率为0.00%,不良反应率为1.89%,均低于对照组7.55%、13.21%(P<0.05);实验组患者护理质量评分、SAS及SDS量表评分均优于对照组,实验组护理满意率高达100.00%,舒适率为100.00%,均高于对照组88.68%、86.79%(P<0.05)。结论胃出血患者实施特级护理干预效果良好,患者治疗效果提升,止血效果佳,恢复快,不良反应少,心理状态佳,舒适度佳,满意度高。

Objective To explore the effect of special nursing intervention to improve the bleeding condition and comfort of patients with gastric hemorrhage. Methods Choose our digestive surgery in April 2015 to February 2017 treated 106 cases of stomach bleeding patients as the research object,adopt random double blind method divided the patients into the experimental group and control group, control group （53 cases） in patients with routine nursing intervention, the experimental group （53 cases）in patients with special nursing intervention, compared two groups of patients with clinical therapeutic efficacy, bleeding symptoms disappear time and length of hospital stay, one-time success rate of hemostasis and patients and adverse reactions in patients with bleeding rate, and nursing quality evaluation, nursing satisfaction, comfort, self- evaluation of anxiety scale （SAS） and self rating scale for depression （SDS）. Results The total efficiency of the treatment group was 100. 00%, higher than the control group 90. 57% and P 〈 0. 05. Patients with hemorrhage in the experimental group disappeared and were hospitalized for a short time in the control group, P 〈 0. 05 ; Experimental group patients one- time success rate of hemostasis is 100. 00%, higher than the control group 90.57% ,and the hemorrhage rate was 0.00% ,the adverse reaction rate was 1.89% ,lower than the control group 7.55% ,13.21% ,P 〈0. 05 ;The quality scores,SAS and SDS scores were better than those in the control group ,P 〈0.05. The nursing satisfaction rate of the experimental group was 100.00%, and the comfort rate was 100. 00%, higher than the control group 88.68%, 86.79%, P 〈 0. 05, the difference was statistically significant. Conclusion special nursing intervention effect is good for the stomach bleeding in patients with therapeutic effect, good hemostatic effect, rapid recovery, less adverse reaction, psychological state, comfort, satisfaction is high, can be applied.