健康教育管理在治疗老年食管胃底静脉曲张患者护理中的应用效果

Application effect of health education management in the nursing of treatment of elderly patients with esophageal and gastric fundus varices

目的探讨健康教育管理在治疗老年食管胃底静脉曲张患者护理中的应用效果。方法选择2018年1月1日-2020年12月31日在宿州市立医院收治的老年食管胃底静脉曲张患者64例,采用成组匹配方法将患者分为观察组和对照组,每组32例。对照组给予常规护理,观察组在常规护理的基础上给予健康教育管理。观察并比较2组的临床疗效、并发症发生情况、患者满意度及生活质量评分结果,以及不同性别患者间的差别。结果临床疗效中,观察组总有效率为90.63%,对照组为78.13%,2组间差异有统计学意义(P<0.05)。观察组出血有2例,对照组有6例。发热在观察组共有5例,在对照组共有9例。总并发症在观察组共有12例,对照组共有22例。总并发症发生方面,2组在男性与合计间的差异有统计学意义(P<0.05)。满意度方面,在观察组患者总满意度为87.50%,在对照组为71.88%,2组间比较差异有统计学意义(P<0.05)。2组间女性和生活质量总评分比较差异具有统计学意义(P<0.05)。结论在老年食管胃底静脉曲张患者治疗中应用健康教育管理,对临床治疗具有积极意义,能够降低并发症的发生,提高患者的满意度与生活质量。

Objective To explore the effect of health education management in the nursing of treatment of elderly patients with esophageal and gastric fundus varices.Methods 64 elderly patients with esophageal and gastric fundus varices treated in Suzhou Municipal Hospital from January 1,2018 to December 31,2020 were selected and divided into observation group and control group by group matching method,with 32 cases in each group.The control group was given routine nursing,and the observation group was given health education management on the basis of routine nursing.The clinical efficacy,complications,satisfaction of patients and scores of life quality were observed and compared between the two groups,as well as the differences between patients of different genders.Results The total effective rate was 90.63%in the observation group and 78.13%in the control group,with significant difference between the two groups(P<0.05).There were 2 cases of bleeding in the observation group and 6 cases in the control group.There were 5 cases of fever in the observation group and 9 cases in the control group.A total of 12 cases of complications occurred in the observation group and 22 cases in the control group.The differences in total complications between the two groups of men and the total were statistically significant(P<0.05).The total satisfaction of patients was 87.50%in the observation group and was 71.88%in the control group.The difference between the two groups was statistically significant(P<0.05).There were significant differences between the two groups in the scores of female and total quality of life(P<0.05).Conclusion The application of health education management in the treatment of elderly patients with esophageal and gastric fundus varices has positive significance for clinical treatment,can reduce the occurrence of complications,improve satisfaction and life quality of patients.