综合护理干预对消化道出血消化内镜治疗患者康复的影响分析

Analysis of the effect of comprehensive nursing intervention on the rehabilitation of gastrointestinal hemorrhage patients treated with digestive endoscopy

目的探讨综合护理干预对消化道出血采用消化内镜治疗患者康复的影响。方法80例消化道出血消化内镜治疗患者,根据护理模式的差异分为常规组和综合组,每组40例。常规组给予常规护理。综合组进行了综合护理。比较两组护理前后简明健康状况调查量表(SF-36)评分、护理效果、消化道持续出血时间、血红蛋白恢复>110 g/L的时间、住院时间、复发率。结果护理后,综合组患者生理机能、躯体疼痛、角色生理、心理健康状况、社会机能、角色心理状况、活力、主观健康状况评分均高于常规组,差异均具有统计学意义(P<0.05)。综合组护理总有效率为97.50%高于常规组的77.50%,差异具有统计学意义(P<0.05)。综合组患者消化道持续出血时间(2.41±0.51)h、血红蛋白恢复>110 g/L的时间(3.41±1.21)d、住院时间(5.44±1.42)d均短于常规组的(3.61±0.72)h、(4.73±1.47)d、(6.75±1.82)d,差异均具有统计学意义(P<0.05)。综合组复发率5.00%(2/40)低于常规组的22.50%(9/40),差异具有统计学意义(P<0.05)。结论消化道出血消化内镜治疗患者采用综合护理可更好促进患者恢复,缩短出血时间,减少再出血风险,改善患者生活质量。

Objective To discuss the effect of comprehensive nursing intervention on the rehabilitation of gastrointestinal hemorrhage patients treated with digestive endoscopy.Methods A total of 80 cases of gastrointestinal hemorrhage patients treated with digestive endoscopy were divided into conventional group and comprehensive group according to the difference in nursing mode.The conventional group received conventional nursing,and the comprehensive group received comprehensive nursing.The 36-item short-form health survey(SF-36)scores before and after nursing,nursing effect,duration of persistent gastrointestinal bleeding,time to recovery of hemoglobin>110 g/L,hospitalization time,and recurrence rate were compared between the two groups.Results After nursing,the physiological function,somatic pain,role physiology,mental health status,social function,role psychological status,vitality,and subjective health status scores of patients in the comprehensive group were higher than those in the conventional group,and all differences were statistically significant(P<0.05).The total effective rate of nursing in the comprehensive group was 97.50%,which was higher than 77.50%in the conventional group,and the difference was statistically significant(P<0.05).The duration of persistent gastrointestinal bleeding(2.41±0.51)h,time to recovery of hemoglobin>110 g/L(3.41±1.21)d,and hospitalization time(5.44±1.42)d in the comprehensive group were shorter than(3.61±0.72)h,(4.73±1.47)d,and(6.75±1.82)d in the conventional group,and the differences were statistically significant(P<0.05).The recurrence rate 5.00%(2/40)in the comprehensive group was lower than 22.50%(9/40)in the conventional group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing for can better promote the recovery of gastrointestinal hemorrhage patients treated with digestive endoscopy,shorten the bleeding time,reduce the risk of rebleeding,and improve the quality of life of patients.