摘要
目的探讨循证干预对肝硬化上消化道出血患者的影响。方法选取四川大学华西医院2014年6月~2016年5月收治的200例肝硬化上消化道出血患者,依据干预措施不同进行分组,常规性干预组100例和循证护理干预组100例。比较两组患者生活质量评分、社会支持评分、止血成功率、再出血、肝性脑病、肝肾综合征发生率和护理满意度。结果两组患者干预前生活质量评分、社会支持评分比较,差异无统计学意义(P>0.05)。干预后,两组各项评分均高于干预前,其中循证护理干预组评分优于常规干预组(P<0.05)。干预后,循证护理干预组止血成功率高于常规干预组(P<0.05),再出血率、肝性脑病、肝肾综合征发生率均低于常规干预组(P<0.05),患者满意度均高于常规干预组(P<0.05)。结论在肝硬化上消化道出血患者中应用循证干预,可以改善患者生活质量和社会支持评分,提高止血成功率,降低并发症发生率,值得临床推广应用。
Objective To approach influence of liver cirrhosis upper gastrointestinal hemorrhage intervention by evidence-based intervention. Methods 200 patients with liver cirrhosis upper gastrointestinal hemorrhage in West China Hospital, Sichuan University from June 2014 to May 2016 were analyzed, which were divided into two groups by different intervention, routine intervention group（100 cases） and evidence-based nursing intervention group（100 cases）. The life quality scores, social support score, hemostasis success rate, occurrence rates of rehaemorrhagia, hepatic encephalopathy and hepatorenal syndrome of two groups were compared. Results Before intervention, there were no differences in the life quality scores and social support score of the two groups（P 〉 0.05）. After intervention, the scores of the two groups were higher than those before intervention, and the scores of the evidence-based nursing intervention group were better than those of the routine intervention group（P 〈 0.05）. The hemostasis success rate of evidence-based nursing intervention group was higher than the routine intervention group（P 〈 0.05）. The occurrence rates of rehaemorrhagia, hepatic encephalopathy and hepatorenal syndrome of the evidence-based nursing intervention group were lower than the routine intervention group（P 〈 0.05）. The satisfaction of evidence-based nursing intervention group was higher than the routine intervention group, with statistically significant difference（P 〈 0.05）. Conclusion Application of evidence-based intervention in patients with liver cirrhosis upper gastrointestinal hemorrhage could improve living quality and social support score, increase hemostasis success rate, decrease complications rate. It is worthy of clinical application.
出处
《中国医药导报》
CAS
2017年第8期164-166,170,共4页
China Medical Herald
关键词
循证干预
肝硬化
上消化道出血
生活质量
社会支持
满意度
Evidence-Based intervention
Liver Cirrhosis
Upper Gastrointestinal hemorrhage
Living Quality
Social support
Satisfaction
