优质护理干预在肝硬化合并上消化道出血患者中应用效果分析

Effect Analysis of Quality Nursing Intervention in Patients with Cirrhosis Combined with Upper Gastrointestinal Bleeding

目的探讨肝硬化合并上消化道出血患者接受优质护理干预的效果。方法2015年4月至2018年4月患者98例,随机分为对照组(常规护理)与观察组(常规护理+优质护理)各49例,对比两组干预效果。结果观察组基础护理合格率(97.96%)、健康教育知晓率(97.96%)、护理满意度(100.00%)均高于对照组(85.74%、79.59%、83.67%),P均<0.05;观察组SAS评分[(33.16±6.38)分]、SDS评分[(35.36±8.51)分]均低于对照组[(46.36±7.46)分]、[(48.61±7.05)分],P均<0.05;观察组止血时间[(29.94±4.51)h]、出血量[(454.62±20.52)mL]均优于对照组[(36.50±5.15)h]、[(645.64±85.62)mL],P均<0.05;观察组并发症发生率(2.04%)、再出血率(0)低于对照组16.33%、20.41%,P均<0.05。结论肝硬化合并上消化道出血患者接受优质护理干预有助于提高基础护理质量,改善患者对健康教育的了解程度,缓解其焦虑、抑郁情绪,改善止血效果,预防并发症,患者对这一护理服务的认可程度较高,值得推广。

Objective To explore the effect of quality nursing intervention in patients with cirrhosis and upper gastrointestinal bleeding.Methods From April 2015 to April 2018,98 cases of patients with this disease were randomly divided into control group(routine nursing)and observation group(rout ine nursing+quality nursing),49 cases each,to compare the intervention effect of the two groups.Results The qualified rate of basic nursing(97.96%),the awareness rate of health education(97.96%),and the nursing satisfaction(100.00%)in the observation group were all higher than those in the control group(85.74%,79.59%and 83.67%),all P<0.05.SAS scores[(33.16±6.38)]and SDS scores[(35.36±8.51)]in the observation group were lower than those in the control group[(46.36±7.46)and(48.61±7.05)],all P<0.05.The hemostatic time[(29.94±4.51)h]and blood loss[(454.62±20.52)mL]of the observation group were better than that of the control group[(36.50±5.15)h]and[(645.64±85.62)mL],all P<0.05.The complication rate(2.04%)in the observation group was lower than that in the control group(16.33%),and the rebleeding rate(0)was lower than that in the control group(20.41%),all P<0.05.Conclusion Quality nursing intervention for patients with cirrhosis complicated with upper gastrointestinal bleeding is helpful to improve the quality of basic nursing,improve the understanding of health education,relieve their anxiety and depression,improve the hemostatic effect,and prevent complications.Patients have a high recognition of this nursing service,which is worthy of promotion.