预见性护理干预在急性上消化道出血患者治疗过程中的效果评价

Evaluation of the effect of predictive nursing intervention in the treatment of patients with acute upper gastrointestinal bleeding

目的通过观察对比患者的不同临床表现,探讨评价预见性护理干预在急性上消化道出血患者治疗过程中的效果。方法选取2015年6月~2017年11月在我院接受治疗的急性上消化道出血患者80例作为本次的研究对象,按照随机数字表法将其分为观察组和对照组,每组40例,其中对照组患者应用常规护理,观察组患者应用预见性护理干预,观察记录两组患者的相关临床指征数据,包括止血时间、再出血率、并发症发生情况、治疗效果以及护理服务满意度等内容。结果对比两组患者的止血时间和再出血率,观察组明显较对照组要少,差异有统计学意义(P<0.05);对比两组患者的并发症发生率,观察组较对照组要低,差异有统计学意义(P<0.05);对比两组患者的治疗效果和对护理服务的满意度,观察组均优于对照组,差异有统计学意义(P<0.05)。结论预见性护理干预在急性上消化道出血患者治疗过程中的效果显著,可有效缩短患者的止血时间,在降低再出血率和并发症发生率等方面均表现出显著优势,大大增强了治疗效果和患者对于护理的满意度,因而可以在临床上进行推广应用。

Objective To evaluate the effect of predictive nursing intervention in the treatment of patients with acute upper gastrointestinal bleeding by observing the different clinical manifestations of patients. Methods Eighty patients with acute upper gastrointestinal bleeding treated in our hospital from June 2015 to November 2017 were selected as the study subjects. According to the random number method, all them were divided into observation group and control group, 40 cases in each group. The patients in control group were given routine nursing, while patients in observation group were given predictive nursing intervention. The relevant clinical indication data of two groups of patients were observed and recorded, included hemostasis time, rebleeding rate, complications, treatment and satisfaction with nursing services and so on. Results The hemostasis time and rebleeding rate in the observation group were significantly lower than those in the control group（P 〈0.05）. The incidence of complications in the observation group was lower than that in control group（P 〈0.05）. The treatment effect and satisfaction of nursing services in the control group were were better than those in control group（P 〈0.05）. Conclusion Predictive nursing intervention in patients with acute upper gastrointestinal bleeding in the treatment is of significant effect. It can effectively shorten the patient＇s bleeding time, reduce the rate of rebleeding and the incidence of complications, greatly enhance the effectiveness of treatment and satisfaction with nursing services. Therefore it can be popularized and applied in clinic.