综合护理在功血合并重度贫血患者中的临床应用分析  

Clinical application analysis of comprehensive nursing in patients with dysfunctional uterine bleeding and severe anemia

作　　者：章淑媛 唐静[1] 闻爱群 陆胜昔 ZHANG Shu-yuan;TANG Jing;WEN Ai-qun(Department of Emergency,Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University,Nanjing 210000,China)

机构地区：[1]南京医科大学附属妇产医院急诊科,210000

出　　处：《中国实用医药》2018年第33期168-170,共3页China Practical Medicine

摘　　要：目的观察综合护理对功能失调性子宫出血(功血)合并重度贫血患者的临床应用效果。方法 70例功血合并重度贫血患者,采取随机数字表法分成对照组和观察组,每组35例。对照组采用常规护理,观察组采用综合护理。比较两组住院天数及护理前后抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、Barthel指数、血红蛋白水平。结果护理前,两组SDS、SAS评分比较差异无统计学意义(P>0.05);护理后,两组SDS、SAS评分均低于护理前,且观察组SDS评分(45.89±2.25)分、SAS评分(45.63±2.72)分低于对照组的(49.73±4.86)、(50.83±4.19)分,差异具有统计学意义(P<0.05)。护理前,两组Barthel指数及血红蛋白水平比较差异无统计学意义(P>0.05);护理后,两组Barthel指数及血红蛋白水平均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组住院天数短于对照组,差异具有统计学意义(P<0.05)。结论对功血合并重度贫血患者采取综合护理干预,可明显改善患者焦虑、抑郁情绪和自理能力、血红蛋白水平,缩短住院天数,加速患者恢复,效果理想。Objective To observe the clinical application effect of comprehensive nursing in patients with dysfunctional uterine bleeding and severe anemia. Methods A total of 70 patients with dysfunctional uterine bleeding and severe anemia were divided by random number table into control group and observation group, with 35 cases in each group. The control group received conventional nursing, and the observation group received comprehensive nursing. Comparison were made on hospitalization time, self-rating depression scale（SDS）, selfrating anxiety scale（SAS）, Barthel index and hemoglobin level before and after nursing between the two groups. Results Before nursing, there was no statistically significant difference in SDS and SAS score（P〉0.05）. After nursing, both groups had lower SDS and SAS score than those before nursing, and the observation group had lower SDS score as（45.89±2.25） points and SAS score as（45.63±2.72） points than（49.73±4.86） and（50.83± 4.19） points in the control group. Their difference was statistically significant（P〈0.05）. Before nursing, there was no statistically significant difference in Barthel index and hemoglobin level（P〉0.05）. After nursing, both groups had higher Barthel index and hemoglobin level than those before nursing, and the observation group was higher than the control group. Their difference was statistically significant（P〈0.05）. The observation group had shorter hospitalization time than the control group, and the difference was statistically significant（P〈0.05）. Conclusion Application of comprehensive nursing for patients with dysfunctional uterine bleeding and severe anemia can obviously improve the anxiety, depression, self-care ability and hemoglobin level, reduce hospitalization time, and accelerate the recovery of patients with ideal effect.

关 键 词：综合护理 功能失调性子宫出血 重度贫血 临床应用 

分 类 号：R473.71[医药卫生—护理学]