综合护理在内镜下治疗食管胃底静脉曲张出血中的效果探讨

Discussion on the effect of comprehensive nursing in endoscopic treatment of esophageal and gastric varicose bleeding

目的探讨分析综合护理应用于内镜下治疗食管胃底静脉曲张出血的效果。方法回顾性分析医院收治的食管胃底静脉曲张出血患者中60例进行研究,将其按照随机数字表法分为对照组和观察组各30例,分别采用常规护理和综合护理,评价不同护理效果。结果观察组术中、术后的心率为(91.0±4.0)次/min、(89.2±4.2)次/min,低于对照组的(98.0±4.2)次/min、(94.7±4.5)次/min,差异有统计学意义(t值为6.610、4.894,P<0.05),观察组再出血预防有效率93.33%(28/30),高于对照组的73.33%(22/30),差异有统计学意义(χ2值为4.32,P<0.05)。观察组健康教育掌握优良率93.33%(28/30),高于对照组的73.33%(22/30),差异有统计学意义(χ2值为4.32,P<0.05);观察组总护理满意率100.00%(30/30),高于对照组的86.70%(26/30),差异有统计学意义(χ2值为4.29,P<0.05);观察组的生命质量、病情认知、遵医行为、正确休息、自我保护、生命质量综合评定问卷(GQOLI)评分(33.5±3.5)、(21.5±3.7)、(32.5±2.8)、(21.5±3.3)、(22.0±4.2)、(130.2±17.4)分,高于对照组(28.2±3.2)、(17.5±2.5)、(28.5±3.0)、(17.2±3.0)、(18.0±3.0)、(110.2±15.2)分,差异有统计学意义(t值为4.245~6.121,P<0.05)。结论内镜下治疗食管胃底静脉曲张出血患者结合综合护理干预,可有效预防再出血发生,提高患者的生命质量,应用效果显著。

Objective To explore and analyze the effect of comprehensive nursing care in endoscopic treatment of esophageal and gastric varicose bleeding.Methods A retrospective analysis of 60 cases of patients with esophageal and gastric varicose hemorrhage admitted to the hospital was conducted.The patients were randomly divided into 30 cases of control group and 30 cases of observation group.Routine nursing and comprehensive nursing were adopted respectively to evaluate different nursing effects.Results Intraoperative and postoperative heart rate of the observation group(91.0±4.0)times/min,(89.2±4.2)times/min,which were lower than(98.0±4.2)times/min,(94.7±4.5)times/min of the control group.There was statistically significant difference(t values were 6.610,4.894,P<0.05).The bleeding prevention effectiveness rate of the observation group(93.33%,28/30)was higher than the control group(73.33%,22/30),The difference was statistically significant(χ2 value was 4.32,P<0.05).The total nursing satisfaction rate(100.00%,30/30)in the observation group was higher than that in the control group(86.70%,26/30),the difference was statistically significant(χ2 value was 4.29,P<0.05).Quality of life,disease cognition,compliance behavior,proper rest,self-protection,General Quality of life Inventory(GQOLI)score in the observation group were(33.5±3.5),(21.5±3.7),(32.5±2.8),(21.5±3.3),(22.0±4.2),(130.2±17.4)points,which were higher than those in the control group(28.2±3.2),(17.5±2.5),(28.5±3.0),(17.2±3.0),(18.0±3.0),and(110.2±15.2)points.The differences were statistically significant(t values were 4.245-6.121,P<0.05).Conclusions Endoscopic treatment of esophageal and gastric varicose bleeding patients combined with comprehensive nursing intervention,can effectively prevent the occurrence of rebleeding,improve the quality of life of patients.The application effect is significant.