摘要
目的探讨优质护理应用于乙型肝炎肝硬化伴上消化道出血患者中的效果,以提高乙型肝炎消化道出血的护理效果。方法选取2018年1月至2019年1月沈阳市第六人民医院收治的102例乙型肝炎肝硬化伴上消化道出血患者作为研究对象,随机将其分为对照组与护理组,各51例。对照组实施常规护理,护理组实施优质护理,比较两组患者的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分及不良反应发生情况。结果护理前,两组患者的SAS、SDS评分比较,差异无统计学意义(P> 0.05);护理后,两组SAS、SDS评分均较治疗前降低,且护理组下降更为明显,差异均有统计学意义(P <0.05)。护理组不良反应总发生率为5.88%,低于对照组的13.73%,差异有统计学意义(P <0.05)。结论将优质护理应用于乙型肝炎肝硬化伴上消化道出血患者中的效果显著,操作性强,可有效降低患者的出血发生率,并缓解其负性情绪。
Objective To investigate the eff ect of high-quality nursing in patients with hepatitis B cirrhosis and upper gastrointestinal bleeding,so as to improve the nursing eff ect of hepatitis B gastrointestinal bleeding.Methods A total of 102 patients with hepatitis B cirrhosis and upper gastrointestinal hemorrhage who were admitted to Shenyang Sixth People's Hospital from January 2018 to January 2019 were selected a s the research objects,and they were randomly divided into a control group and a nursing group,with 51 cases in each.The control group was provided with routine nursing care,and the nursing group was provided with high-quality nursing.The self-rating anxiety scale(SAS)scores,the self-rating depression scale(SDS)scores and the occurrence of adverse reactions of the two groups were compared.Results Before nursing,there was no statistically significant difference in SAS and SDS scores between the control group and the observation group(P>0.05);after nursing,the SAS and SDS scores of the two groups were lower than before treatment,and the decline in the nursing group was more obvious,and the diff erences were both Statistically signifi cant(P<0.05).The total incidence of adverse reactions in the nursing group was 5.88%,which was lower than 13.73%in the control group.The difference was statistically signifi cant(P<0.05).Conclusion The application of high-quality nursing care to patients with hepatitis B liver cirrhosis accompanied by upper gastrointestinal bleeding has significant effects and strong operability,which can effectively reduce the incidence of bleeding and relieve their negative emotions.
作者
王君
WANG Jun(Shenyang Sixth People's Hospital,Shenyang 110006,China)
出处
《中国医药指南》
2020年第28期126-127,共2页
Guide of China Medicine
关键词
乙型肝炎
肝硬化
上消化道出血
优质护理
焦虑
抑郁
Hepatitis B
Liver cirrhosis
Upper gastrointestinal bleeding
Quality nursing
Anxiety
Depression