肝硬化消化道出血患者套扎术后饮食护理效果分析  

Analysis of the Effect of Diet Nursing on Patients with Cirrhosis and Gastrointestinal Bleeding after Ligation

作　　者：张英琴 刘慧[1] 谭晓霞 ZHANG Ying-qin;LIU Hui;TAN Xiao-xia(Department of Hepatobiliary Surgery,Gaozhou People's Hospital,Gaozhou,Guangdong Province,525200 China)

机构地区：[1]高州市人民医院肝胆外科,广东高州525200

出　　处：《中外医疗》2020年第22期137-140,共4页China & Foreign Medical Treatment

摘　　要：目的探析肝硬化消化道出血患者套扎术后实施饮食护理的临床效果。方法方便选取2016年10月-2019年10月在该院接受治疗的30例肝硬化消化道出血患者作为研究对象,所有患者均接受食管静脉曲张套扎术治疗。研究过程中用数字随机表法将所有患者平均分为两组,对照组的15例患者给予常规护理,观察组的15例患者予以常规护理+术后系统饮食护理,比较两组患者的治疗情况、疾病知识知晓评分、饮食依从性评分、术后并发症发生率、护理满意度等。结果经对比两组患者的治疗情况,观察组的总有效率显著高于对照组(93.33%vs 60.00%),差异有统计学意义(χ^2=4.658,P=0.031<0.05);观察组患者的疾病知识知晓评分、饮食依从性评分均显著高于对照组,差异有统计学意义(P<0.05);观察组患者的术后并发症发生率显著低于对照组(6.67%vs 40.00%),差异有统计学意义(χ^2=4.658,P=0.031<0.05);观察组患者对于护理工作的满意度显著高于对照组(100.00%vs 73.33%),差异有统计学意义(χ^2=4.615,P=0.032<0.05)。结论行套扎术的肝硬化消化道出血患者术后接受饮食护理可辅助提高手术治疗效果,且患者对于疾病以及饮食的重要性也有清晰认知,还可以提高患者对护理工作的满意度,总体优势显著。Objective To explore the clinical effect of diet nursing in patients with liver cirrhosis and gastrointestinal bleeding.Methods From October 2016 to October 2019,30 patients with gastrointestinal bleeding due to liver cirrhosis were convenient selected as the main subjects.All patients were treated with esophageal variceal ligature.In the course of the study,all patients were randomly divided into two groups on average.15 patients in the control group were given routine nursing,and 15 patients in the observation group were given systematic diet nursing after routine nursing.The treatment status,disease knowledge awareness score and diet compliance evaluation of the two groups were compared.Score,incidence of postoperative complications,nursing satisfaction and so on.Results By comparing the treatment status of the two groups,the total effective rate of the observation group was significantly higher than that of the control group(93.33%vs 60.00%),and the difference was statistically significant(χ^2=4.658,P=0.031<0.05),the score of disease knowledge awareness and diet compliance of the patients in the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05),and the incidence of postoperative complications in the observation group was significantly lower than that in the control group(6.67%vs 40.00%),and the difference was statistically significant(χ^2=4.658,P=0.031<0.05).The satisfaction of the patients in the observation group was significantly higher than that in the control group,and there was a significant difference(100.00%vs 73.33%),and the difference was statistically significant(χ^2=4.615,P=0.032<0.05).Conclusion Dietary nursing care can be used to improve the hands of patients with liver cirrhosis and gastrointestinal bleeding after operation.The effect of operation and treatment,and the importance of disease and diet,can also improve the satisfaction of patients with nursing work,the overall advantages are significant.

关 键 词：肝硬化消化道出血 套扎术 饮食护理 护理效果 

分 类 号：R47[医药卫生—护理学]