综合护理联合舒适护理在消化性溃疡出血中的应用

Study on the effect of comprehensive care combined with comfort care in peptic ulcer bleeding

目的探讨综合护理联合舒适护理在消化性溃疡出血中的应用效果。方法选取2018年1月—2020年1月南阳市某医院收治的95例消化性溃疡出血患者为研究对象,采用随机数字表法分为研究组(48例)和对照组(47例)。研究组患者给予综合护理联合舒适护理干预,对照组患者给予常规护理干预。对比2组患者干预前及干预2周后汉密尔顿焦虑量表(HAMA)、匹兹堡睡眠质量指数(PSQI)、主观舒适度评价量表(SECS)、汉密尔顿抑郁量表(HAMD)评分,比较2组患者症状缓解时间。结果研究组患者腹痛、肠梗阻、呕血、饥饿痛症状缓解时间均短于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者HAMA及HAMD评分比较,差异均无统计学意义(P>0.05);干预后,2组患者HAMA及HAMD评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者PSQI及SECS评分比较,差异均无统计学意义(P>0.05);干预后,2组患者PSQI评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05);干预后,2组患者SECS评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。结论综合护理联合舒适护理可有效减轻消化道溃疡出血患者负性情绪,缩短症状缓解时间,提高患者生活质量及主观舒适度,可在临床上推广使用。

Objective To explore the effect of comprehensive care combined with comfort care in peptic ulcer bleeding.Methods Ninety-five patients with peptic ulcer bleeding admitted to a hospital in Nanyang from January 2018 to January 2020 were selected as study subjects and divided into study group(48 cases)and control group(47 cases)using the random number table method.The patients in the study group were given comprehensive care combined with comfort care intervention,and the patients in the control group were given conventional care intervention.The Hamilton Anxiety Rating Scale(HAMA),Pittsburgh Sleep Quality Index(PSQI),Subjective Comfort Evaluation Scale(SCES),and Hamilton Depression Rating Scale(HAMD)scores were compared before and after 2 weeks of intervention,and the time to symptom relief was compared between the 2 groups of patients.Results The improvement time of abdominal pain,intestinal root obstruction,vomiting blood,and hunger pain symptoms was shorter in the study group than in the control group,and all differences were statistically significant(P<0.05).Before the intervention,there was no statistically significant difference between the HAMA and HAMD scores of the 2 groups(P>0.05);after the intervention,the HAMA and HAMD scores of the 2 groups were lower than before the intervention and lower in the study group than in the control group,with statistically significant differences(P<0.05).Before the intervention,the differences in the PSQI and SCES scores of the 2 groups were not statistically significant(P>0.05);after the intervention,the PSQI scores of the 2 groups were lower than before the intervention and lower in the study group than in the control group,with statistically significant differences(P<0.05);the SCES scores of the 2 groups were higher than before the intervention and higher in the study group than in the control group,with statistically significant differences(P<0.05).Conclusion Comprehensive care combined with comfort care can effectively reduce the negative emotions of patients with peptic ulcer bleeding,shorten the time of symptom relief,improve the quality of life and subjective comfort of patients,and can be promoted in clinical use.