摘要
目的探讨家庭参与式健康干预治疗老年鼻出血患者的临床效果。方法选择2015年12月至2019年12月在我科治疗的128例老年鼻出血作为研究对象,随机分为对照组和观察组,各64例。两组患者均进行鼻内镜下双极电凝技术和明胶海绵微填塞治疗,对照组接受常规健康干预,观察组患者在常规健康干预的基础上同时接受家庭参与式健康干预,将两组患者干预6个月后的临床效果进行观察比对和分析。结果接受干预后,观察组依从性显著高于对照组(P<0.001);观察组患者平均住院时间显著短于对照组(P<0.001);观察组患者平均住院费用显著少于对照组(P<0.001);观察组再出血率显著低于对照组(P=0.001);接受干预后,两组患者焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分均显著降低(P<0.05),且观察组SDS评分和SAS评分均显著低于对照组(P<0.05);观察组患者的总满意度显著高于对照组(P=0.005)。结论家庭参与模式能够显著提高老年鼻出血患者对治疗的依从性,改善患者情绪状态,提高患者满意度,能够降低治疗成本。
Objective To study the effect of family participation health intervention in the treatment of elderly patients with epistaxis.Methods A total of 128 cases of elderly nosebleeds treated in my department from December 2015 to December 2019 were selected as subjects,and were randomly divided into control and observation groups,each with 64 patients.The patients in the study were treated with bipolar electrocoagulation technology and gelatin sponge microdilution in the endoscopic lens.The control groups patients received routine nursing intervention,and the patients in the observation group received family participated nursing interventions on the basis of routine care,and the care effects of two groups of patients were compared and analyzed after 6 months of intervention.Results After receiving the intervention,the compliance of the observation group was significantly higher than that of the control group(P<0.001).The average hospital stay of the observation group was significantly shorter than that of the control group(P<0.001).The average hospitalization cost of the observation group was significantly lower than that of the control group(P<0.001).The bleeding rate in the observation group was significantly lower control group(P=0.001).After receiving the intervention,the SDS score and SAS score of the two groups of patients were significantly reduced(P<0.05),and the SDS score and SAS score of the observation group were significantly lower than the control group(P<0.05).The total satisfaction of patients in the observation group was significantly higher than that of the control group(P=0.005).Conclusion Family participatory health intervention improves the compliance of elderly patients with epistaxis,emotional state of patients,nursing satisfaction and reduces the cost of treatment.
作者
曾志刚
郭顺水
ZENG Zhigang;GUO Shunshui(Department of Otolaryngology,Longyan People's Hospital,Longyan 364000,China)
出处
《中国医药指南》
2020年第33期130-131,共2页
Guide of China Medicine
关键词
鼻出血
老年
家庭参与式
健康干预
满意度
Epistaxis
Elderly
Family participation
Health intervention
Satisfaction
