预见性护理在慢性肝炎合并上消化道出血患者中的应用效果

Application of Predictive Nursing in Patients with Chronic Hepatitis and Upper Gastrointestinal Hemorrhage

目的分析探讨预见性护理在慢性肝炎合并上消化道出血患者中的应用效果。方法选取我院在2019年1月至2020年3月收治的慢性肝炎合并上消化道出血患者共90例作为研究对象,根据盲选随机原则进行分组,两组患者各45例。其中对照组采用常规护理措施,观察组采用预见性护理措施,针对两组患者出血改善情况、住院时间、治疗效果、护理满意度及生活质量进行对比。结果(1)在出血次数方面,观察组明显少于对照组(P<0.05);在止血时间、住院时间方面,观察组明显短于对照组(P<0.05);在痊愈出院、转院、死亡占比方面,观察组显著要比对照组高(P<0.05)。(2)研究组护理后,患者的心理功能、躯体功能以及社会功能各项生活质量指标评分与对照组相比均明显更高(P<0.05)。(3)观察组护理总满意度的95.56%,显著高于对照组的73.33%,组间数据存在显著性差异(P<0.05)。结论对慢性肝炎合并上消化道出血患者应用预见性护理,能够使患者的出血症状得到有效控制,使患者康复速度增快,提升患者的生活质量,提高患者的护理满意度。

Objective To analyze the effect of predictive nursing in patients with chronic hepatitis and upper gastrointestinal hemorrhage.Methods A total of 90 patients with chronic hepatitis complicated with upper gastrointestinal bleeding treated in our hospital from January 2019 to March 2020 were selected as the research objects.They were divided into two groups according to the principle of blind selection and randomization,with 45 patients in each group.The control group adopted routine nursing measures and the observation group adopted predictive nursing measures.The improvement of bleeding,hospitalization time,treatment effect,nursing satisfaction and quality of life of the two groups were compared and evaluated.Results(1)In terms of bleeding times,the observation group was significantly less than the control group(P<0.05).In terms of hemostasis time and hospitalization time,the observation group was significantly shorter than the control group(P<0.05).In terms of the proportion of recovery and discharge,transfer to hospital,and death,the observation group was significantly higher than the control group(P<0.05).(2)After nursing,the scores of quality of life indicators of the patients in the study group,such as psychological function,physical function and social function,were significantly higher than those in the control group(P<0.05).(3)95.56%of the total nursing satisfaction of the observation group was significantly higher than 73.33%of the control group,and there was significant difference between the two groups(P<0.05).Conclusion The application of predictive nursing to patients with chronic hepatitis complicated with upper gastrointestinal bleeding can effectively control the bleeding symptoms of patients,speed up the recovery of patients,improve the quality of life of patients,and improve the nursing satisfaction of patients.