综合性护理干预对肝硬化合并上消化道出血治疗效果的影响.docVIP

综合性护理干预对肝硬化合并上消化道出血治疗效果的影响 　　[摘要] 目的 探讨综合性护理干预对肝硬化合并上消化道出血治疗效果的影响。方法 选择我院2010年1月～2013年1月间收治的肝硬化合并上消化道出血患者60例，根据护理方法随机分为干预组和对照组，各30例，对照组予以常规对症护理，干预组实施综合性护理干预，比较两组的疗效、止血时间、住院时间、并发症及护理满意度。 结果 干预组患者治疗有效率达90.0%，对照组有效率达73.3%，两组差异存在显著性（P0.05）。干预组患者的止血时间、住院时间短于对照组，组间比较差异存在显著性（P0.05）。干预组治疗期间并发症发生率达10%，对照组并发症发生率达36.7%，组间比较差异存在显著性（P0.05）。干预组的护理满意度达96.7%，明显高于对照组，组间比较差异存在显著性（P0.05）。结论 对肝硬化合并上消化道出血患者在积极有效治疗的同时实施综合性的护理干预措施，可以明显提高疗效，缩短住院时间，减少并发症发生，提高护理满意度。 　　[关键词] 肝硬化；上消化道出血；综合性；护理干预；并发症；满意度 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2014）11-0089-03 　　[Abstract] Objective To investigate the effect of comprehensive nursing intervention in the treatment of upper gastrointestinal bleeding in cirrhosis. Methods In our hospital from January 2010 to January 2013， 60 cases of upper gastrointestinal bleeding according to different methods of care were randomly divided into intervention group of 30 patients and control group of 30 patients， the control group received conventional symptomatic care，while intervention group treated with implementation of integrated care intervention，the efficacy，bleeding， hospitalization time， complications and nursing satisfaction were compared. Results The effective rate of intervention group was 90.0%，the effective rate of the control group was 73.3%， there was significant difference between two groups（P 0.05）. Bleeding， hospitalization time of intervention group were shorter than the control group，there was significant difference between the two groups（P 0.05）. There was significant difference between the two groups in complication rate（P 0.05）. Nursing satisfaction of intervention group reached 96.7%， significantly higher than the control groups， there was significant difference（P 0.05）. Conclusion Patients with upper gastrointestinal bleeding cirrhotic implied comprehensive nursing interventions can significantly improve the efficacy， shorter hospital stays， reduce complications and improve nursing satisfaction. 　　[Key words] Cirrhosis； Upper g