舒适护理用于上消化道出血患者护理中的临床体会  

Clinical Experience of Comfort Nursing for Upper Gastrointestinal Bleeding

作　　者：盛男 SHENG Nan(Dalian Public Health Clinical Center(Dalian Sixth People's Hospital),Dalian 116031,China)

机构地区：[1]大连市公共卫生临床中心(大连市第六人民医院),辽宁大连116031

出　　处：《中国医药指南》2022年第8期145-148,共4页Guide of China Medicine

摘　　要：目的探讨舒适护理用于上消化道出血患者护理中的效果。方法回顾性分析2019年1月至2020年1月就诊大连市第六人民医院肝病内科的100例上消化道出血患者的临床资料,根据患者护理服务方案的差异将其分为对照组(50例,采用常规临床护理)和试验组(50例,采用舒适护理服务),比较两组的护理效果。结果试验组护理后止血时间和住院时间明显短于对照组,出血次数明显少于对照组(P<0.05)。试验组临床护理后再出血发生率为4.00%,并发症发生率为4.00%,均明显低于对照组的20.00%和18.00%,差异有统计学意义(P<0.05)。试验组临床护理满意度为94.00%,明显高于对照组的74.00%,差异有统计学意义(P<0.05)。试验组自我饮食管理、食欲、饮食习惯、饮食方式等方面的评分均显著高于对照组,差异有统计学意义(P<0.05)。试验组临床护理总有效率为98.00%,明显高于对照组的78.00%,差异有统计学意义(P<0.05)。结论将舒适护理服务模式用于上消化道出血患者的临床护理中的整体出血控制效果较为理想,治疗安全性更高。Objective To explore the effect of comfort nursing for upper gastrointestinal bleeding.Methods Retrospective analysis in January 2019 to January 2020 visits during Dalian Sixth People's Hospital liver disease internal medicine clinical data of 100 patients with upper gastrointestinal bleeding,starting from the differences of patient care service plan is divided into control group(50 cases,the conventional clinical nursing)and experimental group(50 cases,the comfortable nursing service),to compare two groups of nursing effect.Results The time of hemostasis and hospital stay in the experimental group after nursing were shorter than the control group,and the number of bleeding after nursing was also less than the control group(P<0.05).The incidence of rebleeding after clinical nursing in the experimental group was 4.00%,and the incidence of complications was 4.00%,both of which were significantly lower than the 20.00%and 18.00%of the control group,with significant differences between the two groups(P<0.05).The clinical nursing satisfaction of the subjects in the experimental group was 94.00%,and the data analysis results were significantly higher than 74.00%in the control group(P<0.05).The scores of diet quality in self diet management,appetite,eating habits and eating styles of the subjects in the experimental group were significantly higher than those in the control group,and the data difference was statistically significant(P<0.05).The total effective rate of clinical nursing in the experimental group was 98.00%,which was significantly higher than 78.00%in the control group(P<0.05).Conclusion In the clinical nursing of patients with upper gastrointestinal hemorrhage,the comfort nursing service model has an ideal overall bleeding control effect,and the treatment safety is higher.

关 键 词：上消化道出血 舒适护理 再出血 止血时间 

分 类 号：R473.5[医药卫生—护理学] R573.2[医药卫生—临床医学]