预见性护理、针对性护理在肝硬化合并上消化道出血护理中的应用效果比较

Comparison of Application Effect of Predicative Nursing and Targeted Nursing in the Cirrhosis and Upper Gastrointestinal Hemorrhage

目的探讨对肝硬化合并上消化道出血患者实施预见性护理和针对性护理的临床护理效果。方法将该院2016年10月—2017年8月收治的94例肝硬化合并上消化道出血患者随机分为预见组和针对组,各47例,两组患者的治疗方案相同,治疗期间予以预见组患者预见性护理,予以针对组患者针对性护理,比较两组护理前后的心理状态和生活质量以及出血复发率、病死率。结果两组患者护理前的HAMA评分、HAMD评分、GQOL-74评分比较差异无统计学意义(t=0.081,0.047,0.082,P>0.05),针对组护理后的HAMA评分、HAMD评分分为为(8.52±1.14)分、(7.13±1.26)分,较预见组的(13.00±1.29)分、(11.30±1.41)分低(t=11.638,9.862,P<0.05),GQOL-74评分为(68.10±5.21)分,较预见组的(61.33±4.98)分高(t=4.201,P<0.05),两组出血复发率、病死率比较差异无统计学意义(P>0.05)。结论预见性护理和针对性护理在肝硬化合并上消化道出血患者临床护理中的应用,均能获得良好的应用效果,针对性护理能够有效改善患者心理状态,提高患者生活质量。

Objective To study the application effect of predicative nursing and targeted nursing in the cirrhosis and upper gastrointestinal hemorrhage.Methods 94 cases of patients with cirrhosis and upper gastrointestinal hemorrhage admitted and treated in our hospital from October 2016 to August 2017 were selected and randomly divided into two groups,both groups had the same treatment plan,the predicative group used the predictive nursing,the targeted group used the targeted nursing,and the mental state and quality of life,bleeding recurrence rate and morbidity of the two groups were compared before and after nursing.Results The differences in the HAMA scores,HAMD scores and GQOL-74 scores between the two groups（t= 0.081,0.047,0.082,P〉0.05）,and the HAMA score and HAMD score after nursing in the targeted group were lower than those in the predictive group [（8.52±1.14）points,（7.13±1.26）points vs（13.00±1.29）points,（11.30±1.41）points（t=11.638,9.862,P〈0.05）],and the GQOL-74 score was higher than that in the predictive group,[（68.10±5.21）points vs（61.33±4.98）points],significant（t=4.201,P〈0.05）,and the differences in the bleeding recurrence rate and morbidity between the two groups were notstatistically significant（P 〉0.05）.Conclusion The application of predicative nursing and targeted nursing in the Cirrhosis and upper gastrointestinal hemorrhage can obtain a good application effect,and the targeted nursing can effectively improve the mental state of patients and improve the quality of life.