摘要
目的考察共情护理结合问题解决模式在上消化道出血患者中的应用价值。方法选取2021年3月至2022年3月徐州医科大学附属医院诊治的120例上消化道出血患者,根据不同的护理方式分为对照组(60例)与观察组(60例)。对照组给予常规护理结合共情护理,观察组在对照组护理方法的基础上结合问题解决模式。比较2组的持续出血量、持续出血时间、住院时间、止血成功率、心理状况、舒适度、生活质量、护理满意度和并发症发生情况。结果观察组的持续出血量少于对照组,持续出血时间和住院时间均短于对照组,止血成功率高于对照组(P均<0.05)。2组在护理后4周的心理状况量表评分均低于护理前和护理后1周,舒适度和生活质量量表评分均高于护理前和护理后1周,且2组护理后1周的上述评分均优于护理前(P均<0.05);观察组在护理后1周和4周的上述评分均优于同期对照组(P均<0.05)。观察组的护理总满意率高于对照组,并发症总发生率低于对照组(P均<0.05)。结论共情护理结合问题解决模式可改善上消化道出血患者的止血效果,提高止血成功率、舒适度和护理满意度,还可改善患者的心理状况,降低并发症的发生率。
Objective To investigate the application value of empathy nursing combined with problem solving model in the patients with upper gastrointestinal bleeding.Methods From March 2021 to March 2022,120 upper gastrointestinal bleeding patients diagnosed and treated in the Affiliated Hospital of Xuzhou Medical University were selected as the study subjects.According to different nursing methods,they were divided into a control group(60 cases)and an observation group(60 cases).The control group was given conventional nursing combined with empathy nursing,and the observation group adopted problem solving model in addition to the nursing method of the control group.The persistent bleeding volume,duration of bleeding,length of hospital stay,success rate of hemostasis,psychological state,comfort,quality of life,nursing satisfaction,and complications of the two groups were compared.Results The persistent bleeding volume of the observation group was less than that of the control group.The duration of bleeding and length of hospital stay were shorter than those of the control group.The success rate of hemostasis was higher than that of the control group(all P<0.05).The scores of psychological state scale in both groups after 4 weeks of nursing were lower than those before nursing and after 1 week of nursing,and the scores of comfort and quality of life scale were higher than those before nursing and after 1 week of nursing.The above scores in both groups after 1 week of nursing were better than those before nursing(all P<0.05).After 1 and 4 weeks of nursing,the above scores of the observation group were better than those of the control group(all P<0.05).The observation group has a higher nursing satisfaction rate and a lower complication rate than the control group(both P<0.05).Conclusion Empathy nursing combined with problem solving model can improve the hemostatic effect of patients with upper gastrointestinal bleeding,increase the success rate of hemostasis,comfort,and nursing satisfaction,improve the psychological state,and
作者
张惠敏
任明珠
滕艳秋
ZHANG Huimin;REN Mingzhu;TENG Yanqiu(Department of Infectious Diseases,The Alliliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)
出处
《中西医结合护理（中英文）》
2022年第10期17-20,共4页
Journal of Clinical Nursing in Practice
关键词
上消化道出血
共情护理
问题解决模式
止血效果
心理状况
upper gastrointestinal bleeding
empathy nursing
problem solving model
hemostatic effect
psychological state
