集束化护理在血液净化伴消化道出血患者的临床效果

Clinical Effect of Cluster Nursing in Patients with Blood Purification and Gastrointestinal Bleeding

目的:分析血液净化治疗期间出现消化道出血症状的患者接受集束化护理干预的临床效果。方法:选取2015年11月-2017年11月接受血液净化治疗期间出现消化道出血症状的患者78例,随机分为对照组和观察组,每组39例。对照组实施常规血液净化护理;观察组实施集束化护理干预。结果:观察组患者消化道出血症状消失时间(3.67±0.85)d、治疗总时间(14.27±2.06)d,短于对照组的(6.81±1.24)、(19.73±3.64)d,差异有统计学意义(P<0.05);观察组护理服务的总满意度为94.9%,高于对照组的76.9%,差异有统计学意义(P<0.05);观察组发生不良事件仅有2例,少于对照组的8例,差异有统计学意义(P<0.05)。结论:血液净化治疗期间出现消化道出血症状的患者接受集束化护理干预,能够减少不良事件,在短时间内控制症状,从而缩短治疗时间,提高患者满意度。

Objective:To analyze the clinical effect of cluster nursing intervention on patients with gastrointestinal bleeding during blood purification treatment.Method:A total of 78 patients with digestive tract bleeding were randomly divided into control group and observation group from November 2015 to November 2017.The control group carried out routine blood purification nursing,the observation group carried out cluster nursing intervention.Result:The total time of digestive tract bleeding was(3.67±0.85)d,and the total time of treatment was(14.27±2.06)d,which were shorter than the control group of(6.81±1.24)d and(19.73±3.64)d,the differences were statistically significant(P<0.05).The satisfaction rate of nursing service in observation group was 94.9%,higher than 76.9%in control group,the difference was statistically significant(P<0.05).There were only 2 cases of adverse events occurred in the observation group,which was less than 8 cases in the control group,the difference was statistically significant(P<0.05).Conclusion:The patients with gastrointestinal bleeding symptoms during blood purification therapy treated with cluster nursing intervention can reduce the adverse events,control the symptoms in a short time,thus shorten the treatment time,and improve the satisfaction of patients.