分级阶段性护理措施对消化道出血患者干预的效果观察  

The Effects of Graded and Phased Nursing Measures in the Intervention for Patients with Gastrointestinal Hemorrhage

作　　者：唐小丹[1] 李前方[1] TANG Xiaodan;LI Qianfang(Jingzhou City Central Hospital,Jingzhou 434020,China)

机构地区：[1]荆州市中心医院,湖北荆州434020

出　　处：《西部中医药》2022年第2期125-128,共4页Western Journal of Traditional Chinese Medicine

摘　　要：目的:分析分级阶段性护理措施对消化道出血患者恢复效果、医疗纠纷发生率及患者满意度的影响。方法:将100例消化道出血患者分为观察组与对照组,每组50例。对照组采用常规护理方案干预,观察组采用分阶段护理措施干预,记录两组患者出血次数、止血时间、住院时间、并发症发生率、医疗纠纷发生率、护理依从性、负性情绪及健康知识知晓情况。结果:观察组出血次数、止血时间、住院时间、复发率、并发症发生率及医疗纠纷发生率均低于对照组(P<0.05);治疗后两组疾病知识、情绪调节、危险因素、预防复发、规范用药、合理饮食、生活方式及自我健康评分均显著提高,汉密尔顿抑郁(Hamilton depression scale,HAMD)量表及汉密尔顿焦虑(Hamilton anxiety scale,HAMA)量表评分均降低(P<0.05),且观察组治疗后各维度评分情况均优于对照组(P<0.05);观察组护理满意度及依从性评分均高于对照组(P<0.05)。结论:采用分级阶段性护理措施对消化道出血患者进行干预后,有助于患者病情恢复,降低医疗纠纷发生率并提高患者护理满意度。Objective:To analyze the effects of graded and phased nursing measures on the recovery,the incidence of medical disputes and patient′s satisfaction degree in patients with gastrointestinal hemorrhage.Methods:One hundred cases of gastrointestinal hemorrhage were randomized into the observation group and the control group,with 50 cases in each group.The control group adotepd conventional nursing regimen intervention,and the observation group graded and phased nursing measures,to record the times of hemorrhage,hemostatic time,hospitalization time,the incidence of the complications,the incidence of medical disputes,nursing compliance,negative emotion and health knowledge awareness in the two groups.Results:The observation group was lower than the control group in the times of hemorrhage,hemostatic time,hospitalization time,the relapse rate,the incidence of the complications and the incidence of medical disputes(P<0.05);after the treatment,the scores of disease knowledge,emotional regulation,risk factors,the prevention and relapse,standardized medication,rational diet,lifestyle and self-health lifted in both groups,the scores of HAMD and HAMA decreased(P<0.05),and the observation group was superior to the control group in the improvements of different dimensional scores after the treatment(P<0.05);the observation group was higher than the control group in nursing satisfaction degrees and compliance scores(P<0.05).Conclusion:The intervention for the patients with gastrointestinal hemorrhage with graded and phased nursing measures could help promote the recovery of the patients,lower the incidence of medical disputes and raise the patients′nursing satisfaction degree.

关 键 词：消化道出血 分级阶段性护理措施 恢复效果 医疗纠纷 满意度 

分 类 号：R473.5[医药卫生—护理学]