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目的观察肝硬化并发上消化道出血患者实施不同护理模式的临床疗效及可行性。方法 90例肝硬化并发上消化道出血患者,依照患者的入院顺序将其分为对照组和观察组,各45例。观察组患者实施全面化护理,对照组患者实施常规护理。比较两组患者止血时间、住院时间、出血复发率、并发症发生率及护理满意度等指标。结果观察组患者止血时间和住院时间分别为(25.35±8.32)h、(13.25±4.26)d。对照组患者止血时间和住院时间分别为(38.43±10.25)h、(18.24±5.27)d。观察组患者止血时间和住院时间均短于对照组,差异具有统计学意义(P<0.05)。观察组患者出血复发率、并发症发生率及护理满意度分别为6.67%、4.44%、95.56%,均优于对照组的22.22%、17.78%、77.78%,差异具有统计学意义(P<0.05)。结论肝硬化并发上消化道出血患者实施全面化护理可以有效减轻疾病症状,提高患者满意度,值得推广。
Objective To observe the clinical efficacy and feasibility of different nursing modes in patients with cirrhosis and upper gastrointestinal hemorrhage. Methods Ninety patients with cirrhosis complicated with upper digestive tract hemorrhage were divided into control group and observation group according to the admission order of the patients, 45 cases in each group. Patients in the observation group were fully nursing and patients in the control group were given routine care. The bleeding time, hospital stay, recurrence rate of bleeding, incidence of complications and nursing satisfaction were compared between the two groups. Results The bleeding time and hospital stay of the observation group were (25.35 ± 8.32) h and (13.25 ± 4.26) d, respectively. The control group patients with hemostasis time and hospital stay were (38.43 ± 10.25) h, (18.24 ± 5.27) d. The bleeding time and hospital stay of observation group were shorter than that of control group, the difference was statistically significant (P <0.05). The recurrence rate, complication rate and nursing satisfaction of the observation group were 6.67%, 4.44% and 95.56%, respectively, which were significantly higher than those of the control group (22.22%, 17.78%, 77.78%, P <0.05 ). Conclusions The implementation of comprehensive nursing in patients with cirrhosis and upper gastrointestinal bleeding can effectively reduce the symptoms of the disease and improve patient satisfaction, which is worthy of popularization.