摘要
目的对比观察护理干预和常规护理在胆结石合并胃溃疡患者中的护理效果及对表皮生长因子(epidermal growth factor,EGF)的影响.方法选取医院2013-05/2016-12的98例胆结石合并胃溃疡患者为研究对象,按照数字随机表法为实验组和对照组,每组均为49例,对照组应用常规护理方法,实验组在对照组基础上应用综合护理干预方法,观察2组患者术后平均住院时间、平均术后出血量、结石复发率、护理总满意度评分、EGF的影响以及治疗前后焦虑、抑郁评分,了解胆结石合并胃溃疡患者的护理方法及效果.结果实验组患者术后平均住院时间远远低于对照组患者(P<0.05);实验组患者平均术后出血量远远少于对照组(P<0.05);实验组患者结石复发率远远低于对照组[4.08%(2/49)vs20.41%(10/49),P<0.05];实验组患者护理总满意度评分远远高于对照组患者(P<0.05);治疗前2组患者的焦虑、抑郁情绪评分和EGF水平比较无统计学意义(P>0.05),治疗后实验组患者的焦虑、抑郁情绪评分远远低于对照组(P<0.05),实验组患者EGF水平远远高于对照组患者(P<0.05).结论临床中对胆结石合并胃溃疡患者采取常规护理联合综合护理干预方法,可以提高患者护理满意度评分,并提高EGF水平,降低患者结石复发率.
AIM To observe the nursing effects of comprehensive nursing intervention combined with routine nursing in gallstone patients with gastric ulcer and the impact on the level of epidermal growth factor （EGF）. METHODS A total of 98 gallstone patients with gastric ulcer were selected from May 2013 to December 2016. The patients were randomly divided into an experimental group and a control group. Both groups were given routine nursing care, and the experimental group was additionally given comprehensive nursing intervention. Hospital stay, postoperative blood loss, stone recurrence rate, total nursing satisfaction score and EGF were compared between the two groups. Anxiety and depression scores were also compared. RE$11L T$ The mean postoperative hospital stay was significantly shorter in the experimental group than in the control group （P 〈 0.05）. The average blood loss was significantly lower in the experimental group than in the control group （P 〈 0.05）. The relapse rate of stones in the control group was 20.41% （10/49）, which was significantly lower than that in the control group （P 〈 0.05）. The total satisfaction score was significantly higher in the experimental group （P 〈 0.05）. There was no significant difference in anxiety and depression scores or EGF between the two groups before treatment （P 〉 0.05）. After treatment, anxiety and depression scores and EGF were significantly higher in the experimental group than in the control group （P 〈 0.05）.CONCLUSION Routine nursing combined with comprehensive nursing intervention in gallstone patients with gastric ulcer can improve nursing satisfaction and EGF level, and reduce the recurrence rate of stones.
作者
戴敏
Min Dai(the First Affiliated Hospital of Huzhou Teachers College, Huzhou 313000, Zhejiang Province, China)
出处
《世界华人消化杂志》
CAS
2017年第17期1579-1582,共4页
World Chinese Journal of Digestology
关键词
胆结石
胃溃疡
常规护理
护理干预
表皮生长因子
Gallstones
Gastric ulcer
Routinenursing
Nursing intervention
Epidermal growthfactor
