基于需要理论下的层级干预在消化道出血患者护理中的应用

Application of Hierarchical Intervention Based on Need Theory in the Nursing of Patients with Gastrointestinal Hemorrhage

目的:探讨基于需要理论下的层级干预在消化道出血患者护理中的应用效果。方法:选择2020年1月—2023年1月厦门大学附属中山医院收治的80例消化道出血患者作为研究对象,根据随机数表法将其分为观察组和对照组,各40例。对照组采用常规干预,观察组在对照组基础上给予基于需要理论下的层级干预。比较两组干预效果、生活质量[世界卫生组织生存质量测定量表-100(WHOQOL-100)]、再出血率。结果:观察组出血时间短于对照组,出血量少于对照组,差异有统计学意义(P<0.05);干预前,两组WHOQOL-100评分比较,差异无统计学意义(P>0.05);干预3个月后,两组WHOQOL-100评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预3个月后,观察组再出血率明显低于对照组,差异有统计学意义(P<0.05)。结论:基于需要理论下的层级干预可减少消化道出血患者出血时间、出血量,降低再出血率,提高患者生活质量。

Objective:To explore the application effect of hierarchical intervention based on need theory in nursing of patients with gastrointestinal hemorrhage.Method:A total of 80 patients with gastrointestinal hemorrhage admitted to Zhongshan Hospital Xiamen University from January 2020 to January 2023 were selected as the study objects,and they were divided into observation group and control group according to random number table method,with 40 cases in each group.The control group received routine intervention,and the observation group was given hierarchical intervention based on the need theory.The intervention effect,quality of life[World Health Organization quality of life-100(WHOQOL-100)]and rebleeding rate were compared between the two groups.Result:The bleeding time of the observation group was shorter than that of the control group,and the bleeding amount was less than that of the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in WHOQOL-100 scores between the two groups(P>0.05).After 3 months of intervention,WHOQOL-100 scores in both groups were higher than that before intervention,and that in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the rebleeding rate in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Hierarchical intervention based on the need theory can reduce the bleeding time and amount,reduce the rate of rebleeding and improve the quality of life of patients with gastrointestinal hemorrhage.