肝硬化合并糖尿病患者上消化道出血的护理效果及对其并发症发生率影响研究

Study on the Nursing Effect of Upper Gastrointestinal Hemorrhage in Patients with Liver Cirrhosis and Diabetes and Its Influence on Its Complication Rate

目的探讨肝硬化合并糖尿病患者上消化道出血患者选用不同护理方案的价值及各方案对患者护理效果及并发症率的影响。方法纳入2018年1月—2020年12月70例肝硬化合并糖尿病及上消化道出血患者进行研究,按1:1比例分为对照组(n=35),选用常规护理,由护理人员遵循科室相关制度为患者提供基础护理工作,同时密切配合医务人员进行紧急救治与处理,并指导其遵医嘱进行治疗;观察组(n=35),选用综合护理。统计两组心理状态、血糖水平、护理效果、并发症率、康复情况。结果观察组SAS评分(33.15±6.38)分、SDS评分(35.36±8.51)分低于对照组,差异有统计学意义(t=7.918、7.103,P<0.05)。观察组FPG(6.57±2.08)mmol/L、2 hPG(10.21±3.71)mmol/L、HbA1c(4.61±0.51)%低于对照组,差异有统计学意义(t=5.005、5.622、8.615,P<0.05)。观察组健康知识掌握度97.14%、依从性97.14%、护理满意度91.43%高于对照组,再出血发生率2.86%低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率11.43%低于对照组34.28%,差异有统计学意义(χ^(2)=5.185,P<0.05)。观察组生活质量、自我护理能力高于对照组,差异有统计学意义(P<0.05)。结论综合护理在肝硬化合并糖尿病患者上消化道出血护理中效果确切,可降低其并发症率,值得借鉴。

Objective To explore the value of choosing different nursing plans for patients with liver cirrhosis and diabetes mellitus with upper gastrointestinal bleeding and the influence of each plan on the patient's nursing effect and complication rate.Methods From January 2018 to December 2020,70 patients with liver cirrhosis combined with diabetes and upper gastrointestinal hemorrhage were included in the study,and they were divided into a control group at a ratio of 1:1(n=35)routine nursing was selected,and the nursing staff followed the relevant department system Provide basic nursing work for patients,and at the same time,closely cooperate with medical staff for emergency treatment and treatment,and guide them to follow the doctor's advice for treatment;observation group(n=35)choose comprehensive nursing.Count the psychological status,blood sugar level,and nursing effect of the two groups,Complication rate,recovery status.Results The SAS score(33.15±6.38)points and SDS score(35.36±8.51)points of the observation group were lower than those of the control group,and the difference was statistically significant(t=7.918,7.103,P<0.05).FPG(6.57±2.08)mmol/L,2 hPG(10.21±3.71)mmol/L,and HbA1c(4.61±0.51)%of the observation group were lower than those of the control group,and the difference was statistically significant(t=5.005,5.622,8.615,P<0.05).The health knowledge mastery(97.14%),compliance(97.14%),and nursing satisfaction(91.43%)of the observation group were higher than those of the control group,and the incidence of rebleeding(2.86%)was lower than that of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group(11.43%)was lower than that in the control group(34.28%),and the difference was statistically significant(χ^(2)=5.185,P<0.05).The quality of life and self-care ability of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing is effective in the nursing of upper gastrointestinal bleeding in patients with liver cirrhosis and diabetes,and it can reduce the complication rate,which is worth learning.