时间护理在消化道出血患者内镜治疗中的应用效果  

The effect of time nursing in patients with gastrointestinal hemorrhage by endoscopic therapy

作　　者：时冬梅[1] 杨娟[1] 陈光菊[1] 赵红[1] 王秋蓉[1] 周洋[1] 沈燕[1] 

机构地区：[1]四川省绵阳市中心医院内镜中心,四川绵阳621000

出　　处：《实用临床医药杂志》2017年第14期61-64,共4页Journal of Clinical Medicine in Practice

基　　金：四川省绵阳市卫计委2001资助项目(2001-09)

摘　　要：目的探讨时间护理在消化道出血患者内镜治疗中的应用效果。方法将采用内镜治疗的172例消化道出血的患者随机分组各86例,对照组采用常规护理,观察组在对照组的基础上采用时间护理,比较2组的止血效果、再出血情况、住院时间以及遵医嘱行为等。结果观察组的呕血消失时间、潜血转阴时间、引流管变清时间、住院时间均短于对照组(P<0.05);观察组的72 h再出血率低于对照组,再出血量少于对照组;观察组随访期间在合理饮食、遵医嘱服药、控制烟酒、按时作息等遵医行为好于对照组(P<0.05)。结论时间护理更加符合消化道出血患者的生理学特点,能降低再出血率,缩短病程,提高患者的遵医行为。Objective To explore the effect of time nursing in patients with gastrointestinal bleeding by endoscopic therapy. Methods A total of 172 gastrointestinal hemorrhage patients by endoscopic therapy in our hospital were randomly divided into two groups, 86 cases in the control group was given routine nursing, and anther 86 cases in the observation group was given time nursing based on the control group, hemostatic effect, re-bleeding rate, hospitalization time and compliance were compared. Results The hematemesis disappeared time, occult blood clearance time and drainage tube cleaning time and hospitalization time in the observation group were shorter than that in the control group, and the differences were statistically significant （P 〈 0.05 ）. The 72 h re-bleeding rate in the observation group was lower, and the bleeding volume was less than that in the control group, the differences were statistically significant （P 〈 0.05 ）. Compliance of reasonable diet, prescribed medication, alcohol control, timely rest in the observation group during the follow-up was better than that in the control group, the differences was statistically significant （P 〈 0.05）. Conclusion Time nursing conforms to physiological characteristics of patients with gastrointestinal bleeding by endoscopic therapy, and it can reduce the rate of re-bleeding, shorten the course of disease, and improve the compliance behavior of patients.

关 键 词：时间护理 消化道出血 内镜治疗 再出血 

分 类 号：R473.5[医药卫生—护理学]