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目的:探讨延伸护理在内镜下硬化治疗食管胃底静脉曲张患者中的应用。方法:将2014年7-12月47例硬化治疗食管胃底静脉曲张患者根据住院号按单双号分为干预组25例和对照组22例。干预组出院后实施延伸护理,对照组给予常规的出院指导。比较两组患者在出院后3个月对出院医嘱的依从性。结果:两组患者出院后对肝硬化失代偿期内镜下硬化治疗食管胃底静脉曲张术后用药、治疗等配合方法的掌握程度及遵医行为的执行度,干预组明显优于对照组,差异有统计学意义(P<0.05)。结论:延伸护理干预能提高对肝硬化失代偿期内镜下硬化治疗食管胃底静脉曲张术患者出院后对医嘱的依从性,促进患者康复,提高生活质量,减少复发率。
Objective: To investigate the application of extended nursing in the treatment of patients with esophageal varices by endoscopic sclerosis. Methods: From July to December 2014, 47 patients with esophagogastric varices who underwent sclerotherapy were divided into two groups according to their hospitalization numbers: 25 cases in the intervention group and 22 cases in the control group. The intervention group was extended nursing after discharge, while the control group was given regular discharge guidance. Comparisons of two groups of patients compliance with discharged orders 3 months after discharge. Results: After discharge, the patients in the intervention group were significantly better than the control group in the degree of mastery of the methods of medication and treatment after esophageal and gastric varices endoscopic sclerotherapy for decompensated liver cirrhosis , The difference was statistically significant (P <0.05). Conclusion: Extensive nursing intervention can improve compliance with medical orders after end-stage renal cirrhosis decompensated endoscopic sclerosis patients discharged from the hospital, promote patient rehabilitation, improve quality of life and reduce the recurrence rate.