全面护理干预策略在闭合性肝脾破裂患者林格氏液保守治疗过程中的应用

Application of Comprehensive Nursing Intervention Strategy in the Conservative Treatment of Ringer's Solution in Patients with Closed Rupture of Liver and Spleen

目的:观察全面护理干预策略在闭合性肝脾破裂患者林格氏液保守治疗过程中的应用效果。方法:选取我院闭合性肝脾破裂患者100例(2018年5月至2019年5月),均实施保守治疗,随机数字表法分为2组,每组50例。常规组(50例)实施常规护理服务+林格氏液,全面组(50例)基于常规组实施全面护理干预策略+林格氏液。对比2组住院时间、护理效果满意度、治疗依从性及护理前后焦虑情绪(HAMA评分)、睡眠质量(PSQI评分)。结果:全面组住院时间较常规组短(P <0.05);全面组治疗依从性(94.00%)高于常规组(80.00%,P<0.05);全面组护理2周后HAMA、PSQI评分较常规组低(P <0.05);全面组出院时护理效果满意度(96.00%)高于常规组(78.00%,P<0.05)。结论:全面护理干预策略应用于闭合性肝脾破裂患者,能改善治疗依从性,减轻焦虑情绪,提高睡眠质量,缩短住院时间,提升护理效果满意度。

Objective:To observe the effect of comprehensive nursing intervention strategy in the conservative treatment of Ringer's solution in patients with closed rupture of liver and spleen.Methods:100 patients with closed rupture of the liver and spleen(from May 2018 to May 2019)were selected and conservatively treated.They were divided into 2 groups with random number table method,50 cases each.Routine nursing service+Ringer's solution was implemented in the routine group(50 cases),and comprehensive nursing intervention strategy+Ringer's solution was implemented in the comprehensive group(50 cases).The length of stay,satisfaction of nursing effect,treatment compliance,HAMA score and PSQI score were compared between the two groups.Results:The hospitalization time of the comprehensive group was shorter than that of the routine group(P<0.05);the treatment compliance of the comprehensive group(94.00%)was higher than that of the routine group(80.00%,P<0.05);the HAMA and PSQI scores of the comprehensive group were lower than those of the routine group(P<0.05)after two weeks of nursing;the satisfaction degree of nursing effect of the comprehensive group at discharge(96.00%)was higher than that of the routine group(78.00%,P<0.05).Conclusion:The comprehensive nursing intervention strategy applied to the patients with closed rupture of liver and spleen can improve the treatment compliance,reduce anxiety,improve sleep quality,shorten the length of stay,and improve the satisfaction of nursing effect.