摘要
目的分析肝硬化伴消化道出血患者予以优质护理的效果情况。方法便利选择2017年9月—2019年9月来该院接受疾病治疗的168例乙型肝炎后肝硬化合并消化道出血患者为研究对象,将其分为两组,每组84例。对照组应用常规护理干预,观察组则应用优质护理干预,分析两组患者干预前后焦虑、抑郁情绪情况、生活质量、止血时间、出血量情况。结果干预前,观察组抑郁自评量表(SDS)(56.25±6.22)分,焦虑自评量表(SAS)(57.82±7.52)分,对照组SDS(57.52±6.28)分,SAS(56.25±5.55)分,两组患者差异无统计学意义(P>0.05)。干预后,观察组SDS(23.25±3.52)分,SAS(22.15±4.28)分,优于对照组SDS(35.26±4.57)分,SAS(34.15±3.69)分,差异有统计学意义(t=19.082、19.462,P<0.05);观察组受试者干预后睡眠质量(5.4±0.6)分、躯体能力(3.0±0.5)分,明显高于对照组(4.8±0.4)分、(2.7±0.4)分,观察组疼痛分数(2.5±0.4)分,低于对照组(4.6±0.7)分,差异有统计学意义(t=7.626、4.294、23.873,P<0.05);相较于对照组,观察组的止血时间(30.26±4.24)min,出血量(455.28±29.63)mL,低于对照组(37.58±5.29)min、(677.28±35.26)mL,差异有统计学意义(t=9.896、44.178,P<0.05)。结论针对于乙肝后肝硬化同时合并上消化道出血患者而言,为其开展优质护理服务,此法能够有效减少并发症,因此值得进一步在临床中推广应用。
Objective To analyze the effect of quality care for patients with liver cirrhosis and gastrointestinal bleeding.Methods 168 patients with post-hepatitis B liver cirrhosis and gastrointestinal bleeding who came to the hospital for treatment from September 2017 to September 2019 were conveniently selected as the research objects.Divided them into two groups with 84 cases in each group.The control group received routine nursing intervention,and the observation group used high-quality nursing intervention to analyze the anxiety,depression,quality of life,hemostasis time,bleeding volume before and after intervention.Results Before intervention,the observation group SDS(56.25±6.22)points,SAS(57.82±7.52)points,control group SDS(57.52±6.28)points,SAS(56.25±5.55)points,there was no statistically significant difference in the scores of the two groups patients(P>0.05).After intervention,the SDS(23.25±3.52)points and SAS(22.15±4.28)points of the observation group improved better than those of the control group SDS(35.26±4.57)points,SAS(34.15±3.69)points,the difference was statistically significant(t=19.082,19.462,P<0.05);the sleep quality of the patients in the observation group after intervention was(5.4±0.6)points,the physical ability(3.0±0.5)points was significantly higher than the control group(4.8±0.4)points,(2.7±0.4)points,the observation group's pain score was(2.5±0.4)points lower than the control group(4.6±0.7)points,the difference was statistically significant(t=7.626,4.294,23.873,P<0.05);compared with the control group,the hemostasis time of the observation group was(30.26±4.24)h,and the bleeding volume was(455.28±29.63)mL,which was lower than that of the control group(37.58±5.29)h,(677.28±35.26)mL,the difference was statistically significant(t=9.896,44.178,P<0.05).Conclusion For patients with post-hepatitis B liver cirrhosis combined with upper gastrointestinal bleeding,providing high-quality nursing services for them,this method can effectively reduce complications.Therefore,it is worthy of furt
作者
杨欣
YANG Xin(The Fourth Department of Liver Disease,Qiqihar Infectious Disease Prevention and Treatment Hospital,Qiqihar,Heilongjiang Province,161000 China)
出处
《中外医疗》
2021年第16期148-150,158,共4页
China & Foreign Medical Treatment
关键词
乙肝
肝硬化
消化道出血
优质护理
Hepatitis B
Liver cirrhosis
Gastrointestinal bleeding
High-quality nursing
