护理干预在肝硬化并发上消化道出血患者中应用的效果分析

Effect Analysis of Nursing Intervention in Patients with Cirrhosis Complicated with Upper Gastrointestinal Hemorrhage

目的探讨护理干预在肝硬化并发上消化道出血患者中应用的效果。方法方便选取2015年2月—2018年6月90例肝硬化并发上消化道出血患者随机分组,对照组遵循常规护理,实验组落实全面护理干预。比较两组肝硬化并发上消化道出血患者满意水平;肝硬化并发上消化道出血知识掌握度、止血时间;护理前后患者心理应激水平和血红蛋白水平;并发症发生率。结果实验组肝硬化并发上消化道出血患者满意水平45例(100.00%)高于对照组37例(82.22%)(χ^2=8.781,P<0.05);实验组肝硬化并发上消化道出血知识掌握度(96.56±3.21)分、止血时间(3.13±1.41)d优于对照组(t=8.281、9.152,P<0.05);护理后实验组心理应激水平和血红蛋白水平(25.24±0.13)分、(31.44±0.17)分、(85.44±0.17)g/L优于对照组(36.67±0.22)分、(41.55±0.21)分、(78.21±0.21)g/L(t=6.823、7.011、5.821,P<0.05)。实验组并发症发生率2例(4.44%)低于对照组9例(20.00%)(χ^2=5.0748,P<0.05)。结论全面护理干预在肝硬化并发上消化道出血护理中的干预结果确切,可减轻患者不良心理应激,更好止血和恢复血红蛋白,减少并发症的发生,患者满意水平高。

Objective To investigate the effect of nursing intervention in patients with cirrhosis complicated with upper gastrointestinal bleeding. Methods Ninety patients with cirrhosis complicated with upper gastrointestinal hemorrhage were convenient divided into groups from February 2015 to June 2018. The control group followed routine nursing and the experimental group implemented comprehensive nursing intervention. The satisfaction level of patients with cirrhosis complicated with upper gastrointestinal hemorrhage was compared between the two groups;the knowledge of liver cirrhosis complicated with upper gastrointestinal hemorrhage, the time of hemostasis;the level of psychological stress and hemoglobin before and after treatment;the incidence of complications. Results The satisfactory level of patients with cirrhosis complicated with upper gastrointestinal hemorrhage in the experimental group was 45 cases(100.00%) higher than that in the control group 37 cases(82.22%)(χ^2=8.781, P<0.05). The knowledge of liver cirrhosis complicated with upper gastrointestinal bleeding in the experimental group was (96.56±3.21)points. The hemostasis time was (3.13±1.41)d better than the control group(t=8.281, 9.152, P<0.05), respectively. The psychological stress level and hemoglobin level of the experimental group after treatment were (25.24±0.13)points,(31.44±0.17)points,(85.44±0.17)g/L. Compared with the control group(36.67±0.22)points,(41.55±0.21)points, and (78.21±0.21)g/L(t=6.823, 7.011, 5.821, P<0.05). The complication rate of the experimental group was 2 cases(4.44%) lower than that of the control group 9 cases(20.00%)(χ^2=5.074 8, P<0.05). Conclusion The comprehensive nursing intervention in the treatment of cirrhosis complicated with upper gastrointestinal bleeding is accurate, which can alleviate the patient's adverse psychological stress, better stop bleeding and restore hemoglobin, reduce the occurrence of complications, and have high patient satisfaction.