乙型肝炎后肝硬化伴上消化道出血的护理服务模式分析

Analysis of Nursing Service Model of Hepatic Cirrhosis with Upper Gastrointestinal Hemorrhage after Hepatitis B

目的了解乙型肝炎后肝硬化伴上消化道出血的护理服务模式和效果。方法将该院2015年2月—2019年5月的70例乙型肝炎后肝硬化伴上消化道出血患者,随机分组,普通护理干预组对于该次就诊的乙型肝炎后肝硬化伴上消化道出血患者给予普通护理,针对性护理干预组对于该次就诊的乙型肝炎后肝硬化伴上消化道出血患者开展普通护理联合针对性护理。比较两组满意度;乙型肝炎后肝硬化伴上消化道出血持续的时间、遵医行为;护理前后负性情绪状态评分;并发症发生率。结果针对性护理干预组的满意度是97.14%(34/35),普通护理干预组则是77.14%(27/35),差异有统计学意义(χ^2=6.352,P<0.05)。护理后针对性护理干预组负性情绪状态评分优于普通护理干预组,差异有统计学意义(P<0.05)。针对性护理干预组乙型肝炎后肝硬化伴上消化道出血持续的时间、遵医行为优于普通护理干预组,差异有统计学意义(t=7.824、6.834,P<0.05),针对性护理干预组乙型肝炎后肝硬化伴上消化道出血持续的时间、遵医行为分别是(7.21±2.11)h、(96.02±2.77)分。普通护理干预组乙型肝炎后肝硬化伴上消化道出血持续的时间、遵医行为分别是(10.78±2.12)h、(83.11±2.28)分。针对性护理干预组并发症发生率更低,差异有统计学意义(χ^2=7.255,P<0.05)。针对性护理干预组再次入院有1例,普通护理干预组有8例。结论乙型肝炎后肝硬化伴上消化道出血患者实施普通护理联合针对性护理效果确切,可提高患者的遵医行为,加速止血,并减轻患者的不良情绪状态,减少相关并发症的发生。

Objective To understand the nursing service mode and effect of post-hepatitis B cirrhosis with upper gastrointestinal bleeding.Methods Seventy patients with post-hepatitis B cirrhosis and upper gastrointestinal hemorrhage from February 2015 to May 2019 were randomly assigned to the general nursing intervention group for post-hepatitis B cirrhosis with this treatment.Patients with bleeding were given general care,and the targeted nursing intervention group carried out general nursing and targeted nursing for patients with post-hepatitis B cirrhosis and upper gastrointestinal bleeding.The satisfaction of the two groups was compared;the duration of cirrhosis with upper gastrointestinal hemorrhage after hepatitis B and the compliance behavior;the negative emotional state score before and after nursing;the incidence of complications.Results The satisfaction rate of the targeted nursing intervention group was 97.14%(34/35),and that of the general nursing intervention group was 77.14%(27/35),the difference was statistically significant(χ^2=6.352,P<0.05).The negative emotional state scores of the targeted nursing intervention group after treatment were better than the general nursing intervention group,the difference was statistically significant(P<0.05).In the targeted nursing intervention group,the duration of cirrhosis with upper gastrointestinal hemorrhage after hepatitis B and the compliance behavior were better than the general nursing intervention group,the difference was statistically significant(t=7.824,6.834,P<0.05),after targeted nursing for hepatitis intervention group of cirrhosis with upper gastrointestinal bleeding and the compliance behavior were(7.21±2.11)h and(96.02±2.77)points respectively.In the general nursing intervention group,the duration of cirrhosis with upper gastrointestinal hemorrhage after hepatitis B and the compliance behavior were(10.78±2.12)h and(83.11±2.28)points respectively.The incidence of complications was lower in the targeted nursing intervention group,the difference was statistically significant(χ^2=7.255,P<0.05).There were 1 case of re-admission in the targeted nursing intervention group and 8 cases in the general nursing intervention group.Conclusion Patients with post-hepatitis B cirrhosis and upper gastrointestinal hemorrhage with general nursing combined with targeted care can improve the patient's compliance behavior,accelerate hemostasis,reduce the patient's adverse emotional state,and reduce the occurrence of related complications.