预见性护理对肝硬化上消化道出血患者作用分析.docVIP

预见性护理对肝硬化上消化道出血患者作用分析 　　[摘要] 目的：分析预见性护理对肝硬化上消化道出血患者的影响。方法：总结85例患者的预见性护理经验，并与83例常规患者进行比较，统计两组患者总抢救成功率和住院期间发生并发症的比例，并对护理满意度进行调查。结果：观察组抢救成功率高于对照组，并发症发生率低于对照组，且观察组护理满意度高于对照组，差异有统计学意义。结论：有效的预见性护理措施，对肝硬化食管胃底静脉曲张大出血患者而言，在提高临床治疗效果的同时，还能增进护患关系，需要引起护理工作者的重视。 　　[关键词] 预见性护理；肝硬化；上消化道出血；分析 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2012）01（b）-135-02 　　 　　The role of analysis predictability nursing care for patients with upper gastrointestinal bleeding in cirrhosis 　　XIE Jia 　　Department of Medicine, the First Peoples Hospital of Shenyang City, Liaoning Province, Shenyang 110041, China 　　[Abstract] Objective: To analyze the influence of predictability nursing care for patients with upper gastrointestinal bleeding in cirrhosis. Methods: Summaried the care experience of 85 cases with predictability nursing and compared with 83 normal patients, statistics the overall survival rate and the proportion of complications during hospitalization of the two groups, and the nursing satisfaction of the two groups were investigated. Results: The survival rate and the satisfaction with care of observation group was higher than the control group, the incidence of complications in the observation group was lower than the control group, difference had statistical significance. Conclusion: Effective nursing care measures, esophageal varices bleeding in cirrhotic patients can improve the clinical outcomes and enhance urse-patient relationship, so it needs care workers to attract attention. 　　[Key words] Nursing Care; Cirrhosis; Upper gastrointestinal bleeding; Analysis 　　 　　预见性观察和护理在抢救消化道出血危重患者中的应用愈来愈受到重视，加强预见性意识和观察力度，采取遇见性护理措施，可降低出血和再出血的发生率、缩短出血时间、提高抢救成功率、延缓生命，可真正起到降低死亡率的作用[1]，本研究主要通过总结本院对于肝硬化食管胃底静脉曲张大出血患者的预见性护理经验，并与常规护理组进行对比，现将结果报告如下： 　　1 资料与方法 　　1.1 一般资料 　　选择本院消化内科2008年1月～2011年1月收治的肝硬化食管胃底静脉曲张患者168例，所有患者均经CT检查或造影确诊，随机将所有患者分为两组，观察组85例：男59例，女26例，年龄43～72岁，平均（54.7±3.7）岁，病程1～7年，住院次数1次者41例，2次或以上者44例；对照组83例：男54例，女29例，年龄45～74岁，平均（55.4±3.8）岁，病程1～8年，住院次数1次者45例，2次或以上者38例，两组患者性别、年龄、病程以及住院次数等差异