叙事护理在肝硬化上消化道出血患者中的应用价值

The value of narrative care in patients with upper gastrointestinal hemorrhage with cirrhosis

目的:探讨叙事护理对肝硬化上消化道出血的应用价值。方法:选取医院感染科收治的94例肝硬化上消化道出血患者,随机分为对照组(47例)及观察组(47例),对照组患者予常规护理模式,观察组患者在对照组基础上给予叙事护理干预措施,分析两组负性情绪、睡眠质量和护理满意度。结果:出院时,观察组患者SAS及SDS评分显著低于对照组(P<0.05);观察组患者PSQI评分显著低于对照组出院时(P<0.05);与对照组相比,观察组患者护理满意度显著增加(P<0.05)。结论:叙事护理可减轻肝硬化上消化道出血患者焦虑和抑郁,提升睡眠质量,改善护患关系。

Objective:To investigate the application value of narrative nursing in patients with upper gastrointestinal hemorrhage with cirrhosis.Methods:All of 94 patients with upper gastrointestinal hemorrhage with cirrhosis admitted to the department of infection section in hospital were randomly divided into control group(n=47)and observation group(n=47),the control group adopted the usual nursing mode,and the observation group was given narrative nursing.The differences in negative emotions,sleep quality and nursing satisfaction between the two groups were analyzed.Results:the SAS and SDS scores in observation group were significantly lower than those in control group at discharge(P<0.05).the PSQI score in the observation group was significantly lower than that in the control group at discharge(P<0.05).Compared with the control group,the observation group had higher nursing satisfaction(all P<0.05).Conclusion:Narrative nursing in patients with upper gastrointestinal hemorrhage with cirrhosis could reduce alleviate anxiety and depression,and improve the quality of sleep,nursing satisfaction.