优质护理干预在胃十二指肠溃疡穿孔术中的疗效分析.docVIP

优质护理干预在胃十二指肠溃疡穿孔术中的疗效分析 　　[摘要] 目的 探讨优质护理干预在胃十二指肠溃疡穿孔术中的临床疗效，旨在为提高患者生活质量及减少并发症提供理论依据。 方法 选择2013年1月～2015年1月在我院接受胃十二指肠溃疡穿孔手术治疗的患者210例，随机平均分为研究组和对照组；对照组患者给予常规护理，研究组患者给予心理护理、健康教育、胃肠减压护理、引流管护理、并发症护理及饮食护理，对比两组患者生活质量评分、健康知识掌握评分、满意度评分、住院时间，记录护理前后焦虑评分、抑郁评分、体质量及血清白蛋白的变化，并统计护理有效率及并发症率。 结果 研究组患者生活质量评分为（112.42±1.02）分，健康知识掌握评分为（97.73±1.11）分，满意度评分为（94.52±1.07）分，住院时间为（13.23±0.72）d，均显著优于对照组，差异有统计学意义（P0.05），研究组患者护理后焦虑评分为（29.42±1.04）分，抑郁评分为（32.52±1.13）分，体质量为（74.45±2.26）kg，血清白蛋白为（41.68±2.48）g/L，同时研究组患者护理有效率为94.29%，总并发症率为10.48%，均显著优于对照组（P0.05）。 结论 给予胃十二指肠溃疡穿孔患者优质护理干预能显著提高生活质量和护理有效率，减少并发症。 　　[关键词] 优质护理；胃十二指肠；溃疡穿孔；并发症 　　[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701（2015）31-0153-04 　　Application effect of high quality nursing intervention in the treatment of gastroduodenal ulcer perforation 　　HE Wen 　　Department of Gastrointestinal Surgery， the First Peoples Hospital of Jingdezhen City in Jiangxi Province， Jingdezhen 333000， China 　　[Abstract] Objective To explore the clinical effect of high quality nursing intervention in the treatment of gastric and duodenal ulcer perforation， and to provide a theoretical basis for improving the quality of life and reducing complications. Methods Selected 210 patients from Jan 2014 to Jan 2015 in our hospital for surgical treatment with gastric ulcer perforation， were randomly divided into study group and control group， the control group patients were treated with routine care， patients in study group were given psychological nursing， health education， nursing of gastrointestinal decompression， drainage tube nursing， complication nursing and diet nursing， two groups of patients quality of life score， health knowledge grading， satisfaction score， length of hospital stay were compared， and nursing before and after the anxiety score， depression score， body quality and the change of serum albumin were recorded， and statistical nursing efficiency and complication rate were analyzed. Results The score of quality of life in the study group was （112.42±1.0