舒适护理用于上消化道出血患者的效果分析

Analysis of the Effect of Comfort Nursing for Patients with Upper Gastrointestinal Bleeding

目的探究上消化道出血患者行舒适护理干预的临床效果。方法选择2019年1—12月期间该院收治的80例上消化道出血患者为研究对象,根据抽签法进行随机分组,对照组40例和观察组40例。对照组患者采用常规护理干预,观察组患者采用舒适护理干预,比较两组患者治疗时间、住院时间、出血量、止血时间,通过简明健康状况量表(SF-36)评价两组患者护理前后生活质量状况,通过焦虑自评量表(SAS)及抑郁自评量表(SDS)评价两组患者护理前后不良心理变化情况。结果观察组患者治疗时间(10.25±2.36)min、住院时间(5.82±1.33)d、出血量(75.68±3.68)mL、止血时间(2.03±0.42)d,均少于对照组治疗时间(25.72±3.45)min、住院时间(9.64±2.35)d、出血量(108.45±3.57)mL、止血时间(3.68±1.25)d,经比较组间差异有统计学意义(t=23.407、8.947、40.424、7.914,P<0.05)。护理前两组患者SF-36评分、SAS和SDS评分经比较组间差异无统计学意义(P>0.05),护理后观察组SF-36评分高于对照组,SAS和SDS评分低于对照组,经比较组间差异有统计学意义(P<0.05)。结论舒适护理干预的应用能够有效缩短上消化道出血患者的止血时间和住院时间,改善患者不良心理,提升其生活质量,因此可用于临床推广。

Objective To explore the clinical effects of comfort nursing intervention in patients with upper gastrointestinal bleeding.Methods From January to December 2019,80 patients with upper gastrointestinal bleeding admitted to the hospital were selected to as the study objects,and randomized according to the lottery method,including 40 cases in the control group and 40 cases in the observation group.Patients in the control group were treated with conventional nursing interventions,and patients in the observation group were treated with comfortable nursing interventions.The treatment time,hospitalization time,bleeding volume,and hemostasis time of the two groups were compared.The concise health status scale(SF-36)was used to evaluate the life of the two groups before and after nursing.The quality status was evaluated by the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)of the two groups of patients before and after nursing.Results The treatment time of the observation group was(10.25±2.36)min,the hospitalization time(5.82±1.33)d,the bleeding volume(75.68±3.68)mL,and the hemostasis time(2.03±0.42)d were all shorter than the treatment time of the control group(25.72±3.45)min,hospitalization time(9.64±2.35)d,bleeding volume(108.45±3.57)mL,hemostasis time(3.68±1.25)d,the differences between the groups were statistically significant(t=23.407,8.947,40.424,7.914,P<0.05).The SF-36 scores,SAS and SDS scores of the two groups of patients before nursing were not statistically significant(P>0.05).After nursing,the SF-36 scores of the observation group were higher than the control group,and the SAS and SDS scores were lower than the control group.After comparison,the difference between the groups was statistically significant(P<0.05).Conclusion The application of comfortable nursing intervention can effectively shorten the hemostasis time and hospital stay of patients with upper gastrointestinal bleeding,improve the patients'unhealthy psychology,and improve their quality of life,so it can be used for clinical promotion.