上消化道大出血患者的护理体会

Nursing experience of patients with upper gastrointestinal massive hemorrhage

目的:总结上消化道大出血患者的护理经验,提高护理质量和临床疗效。方法:收治上消化道出血患者50例,随机分成观察组和对照组各25例,对照组给予一般常规护理,观察组给予心理护理干预、加强基础细节护理、迅速建立静脉通道、加强饮食护理和出院指导。结果:观察组止血成功24例,失败1例,平均住院时间(9.2±1.0)d;对照组止血成功19例,失败5例,死亡1例,平均住院时间(13.3±2.1)d,再次出血3例;两组比较差异有统计学意义(P<0.05)。结论:加强心理护理干预、加强基础细节护理、迅速建立静脉通道、加强饮食护理和出院指导可以明显提高上消化道出血患者的临床效果。

Objective:To summarize the nursing experience of patients with upper gastrointestinal massive hemorrhage,to improve the nursing quality and clinical curative effect.Methods:50 patients with upper gastrointestinal massive hemorrhage were selected.They were randomly divided into the observation group and the control group with 25 cases in each.The control group was given conventional nursing.The observation group was given psychological nursing intervention,strengthening basic details nursing,quickly establishing venous channel,strengthening diet nursing and discharge guidance.Results:In the observation group,24 cases were hemostasis success,1 case was failure,the average hospital stay was(9.2 ± 1.0) days.In the control group,19 cases were hemostasis success,5 cases were failure,the average hospital stay was(13.3±2.1) days,3 cases were rebleeding.The differences of two groups were statistically significant(P<0.05).Conclusion:Strengthening psychological nursing intervention, strengthening basic details nursing,quickly establishing venous channel,strengthening diet nursing and discharge guidance can significantly improve the clinical effect of patients with upper gastrointestinal massive hemorrhage.