综合护理干预措施对肝硬化并发上消化道出血患者预后的影响

Influence of comprehensive nursing intervention on prognosis of patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage

目的分析综合护理干预措施对肝硬化并发上消化道出血患者预后的影响。方法选取2014年12月11日至2017年1月22日在我院就医的66例肝硬化并发上消化道出血患者为研究对象,通过动态化随机单双号分组的方法将其分为观察组和对照组,每组33例。对照组给予普通护理,观察组给予综合护理干预。比较两组患者的干预效果、焦虑自评量表评分、并发症发生率、再出血率及死亡率。结果观察组患者的干预总有效率为90.91%,显著高于对照组的48.48%(P<0.05);护理后,观察组患者的焦虑自评量表评分明显降低,且显著低于对照组(P<0.05);观察组患者的并发症发生率、再出血率均明显低于对照组(P<0.05)。结论综合护理干预措施可有效提高肝硬化并发上消化道出血患者治疗后的愈合效果,促进患者的康复,缓解患者的不良情绪,并发症发生率低。

Objective To analyze the influence of comprehensive nursing intervention on prognosis of patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage.Methods From December 11,2014 to January 22,2017,a total of 66 cases of patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage were selected as the study subjects and divided into observation group and control group according to method of randomized single odd number,with 33 cases in each group.The patients in the control group were given general nursing and the patients in the observation group were given comprehensive nursing intervention.The intervention effects,anxiety self-rating scale scores,the incidences of complications,rebleeding and mortality rates were compared between the two groups.Results The total effective rate in the observation group was 90.91%,which was significantly higher than 48.48%in the control group(P<0.05).After nursing,the anxiety scale score in the observation group obviously reduced,which was significantly lower than that in the control group(P<0.05).The incidences of complications and rebleeding in the observation group were significantly lower than those in the control group(P<0.05).Conclusion Comprehensive nursing intervention can enhance the curative effect of the patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage,improve the recovery,alleviate the bad mood and reduce the incidence of complications.