食道胃静脉曲张内镜下治疗患者的护理探索  

Nursing exploration of patients with esophageal and gastric varices treated by endoscopy

作　　者：杨昭云[1] 张卫平[1] 孔德润[1,2] YANG Zhao-yun;ZHANG Wei-ping;KONG De-run(Department of Gastroenterology,the First Afiliated Hospital of Anhui Medical Unitersiy,Hefei,Anhui 230022,China)

机构地区：[1]安徽医科大学第一附属医院消化内科,安徽合肥230032 [2]中华医学会食管胃静脉曲张诊治基地,安徽合肥230022

出　　处：《中华全科医学》2020年第10期1766-1769,共4页Chinese Journal of General Practice

基　　金：安徽省2017转化医学研究院科研基金项目(2017zhyx18);安徽省2018年度重点研究与开发计划项目(1804h08020260)。

摘　　要：目的探讨对肝硬化伴食道胃静脉曲张内镜下治疗患者的特定护理干预效果。方法选取安徽医科大学第一附属医院消化内科2017年10月一2019年1月就诊的70例肝硬化伴食道胃静脉曲张行内镜下治疗的患者,采用随机数字表法将患者分为对照组(常规护理组)和观察组(全程护理模式护理组),每组各35例。比较2组生存质量SF-36评分.焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、术后并发症及术后平均住院时间。结果护理后,观察组患者的生理功能、躯体疼痛、精力、社会功能、精神健康.一般健康状况评分均高于对照组(t=3.522、2.0363.748.2.205.2.094.5.455,均P<0.05)。观察组患者的SAS评分低于对照组(t=2.879,P<0.05)。观察组患者的并发症发生率(8.57%)较对照组低(28.57%,x=4.377,P<0.05)。观察组患者的术后住院时间[(4.43±1.17)d]较对照组[(6.66±1.37)d]明显缩短(t=7.315,P<0.01)。结论全程护理模式的护理干预可提高肝硬化伴食道胃静脉曲张行内镜下治疗患者的生存质量,减轻患者焦虑情绪,降低术后并发症,缩短患者术后住院时间,具有较好的应用价值。Objective To investigate the ffet of nursing intervention on patients with liver eirrhosis accompanying e-sophageal and gastric varices treated by endoscopy.Methods.A total of 70 cases of patients who treated by endoscopy in the First Afiliated Hospital of Anhui Medical University from October 2017 to January 2019 were selected as the objees.They were randomly divided into control group(routine nursing group)and observation group(meticulous nursing group),35 cases in each group.Scores were compared between the two groups on the quality of life SF 36,slf-rating anxiety scale(SAS),self-rating depression scale(SDS),postoperative complications and average postoperative hospital-ization time.Results The scores of physical functioning,bodily pain,vitality,social role functioning,mental health and general health in the observation group were higher than those in the control group(t=3.522,2.036,3.748,2.205,2.094,5.455,all P<0.05).The SAS score of the observation group was lower than that in the control group(1=2.879,P<0.05).The ineidence of complications in the observation group(8.57%)was lower than that in the control group(28.57%),x=4.377,P<0.05.The duration of postoperative hospitalization of the patients in the ob-servation group[(4.43±1.17)days]was significantly shorter than that in the control group[(6.66±1.37)days,t=7.315,P<0.01].Conclusion For patients with liver eirrhosis combined with esophageal and gastrie varices treated by endoscopy,meticulous nursing intervention can improve the quality of life,reduce the anxiety,decrease the postoperative complications and reduce hours of postoperative hospitalization.It has good application value.

关 键 词：肝硬化 食道胃底静脉曲张 内镜下治疗 护理方法 生存质量 焦虑 

分 类 号：R575.2[医药卫生—消化系统] R571.3[医药卫生—内科学]