优质护理用于ICU危重症肝硬化并发上消化道出血的效果观察  

Effects of Quality Nursing Care on Patients with Severe Cirrhosis Complicated by Upper Gastrointestinal Hemorrhage in the ICU

作　　者：王雯媛 荆婵 曲瑞杰 WANG Wenyuan;JING Chan;QU Ruijie(Infection ICU,Henan Provincial People’s Hospital,Zhengzhou Henan 450003,China)

机构地区：[1]河南省人民医院感染ICU,河南郑州450003

出　　处：《临床研究》2024年第12期186-189,共4页Clinical Research

摘　　要：目的分析重症监护室(ICU)危重症肝硬化并发上消化道出血患者接受优质护理的效果。方法选择河南省人民医院于2022年4月至2024年4月期间收治的74例ICU重症肝硬化并发上消化道出血患者,依据随机数字表法将其分为对照组(常规护理)和试验组(优质护理),各37例。对比两组护理效果。结果试验组平均止血时间、平均住院时间、输血量均低于对照组,差异均有统计学意义(P<0.05)。护理前,两组自我管理能力比较,差异无统计学意义(P>0.05),护理后,试验组自我管理能力高于对照组,差异具有统计学意义(P<0.05)。护理前,两组心理弹性各项分值比较,差异无统计学意义(P>0.05),护理后,试验组心理弹性各项分值均高于对照组,差异均有统计学意义(P<0.05)。护理前,两组生活质量评分比较,差异无统计学意义(P>0.05),护理后,试验组生活质量评分高于对照组,差异具有统计学意义(P<0.05)。试验组护理满意度各项评分均高于对照组,差异均有统计学意义(P<0.05)。结论将优质护理应用于ICU重症肝硬化并发上消化道出血中能够发挥良好效果,改善患者临床症状,减轻负面情绪,加快患者病情恢复速度,具有临床应用价值。Objective To analyze the effects of quality nursing care on patients with severe cirrhosis complicated by upper gastrointestinal bleeding in the Intensive Care Unit(ICU).Methods A total of 74 patients with severe cirrhosis complicated by upper gastrointestinal bleeding admitted to Henan Provincial People’s Hospital from April 2022 to April 2024 were selected for the study.Patients were randomly divided into a control group(conventional nursing)and an experimental group(quality nursing),with 37 patients in each group.The nursing outcomes between the two groups were compared.Results The average hemostatic time,average length of hospital stay,and amount of blood transfusion in the experimental group were significantly lower than those in the control group(P<0.05).Before nursing intervention,there was no significant difference in self-management ability between the two groups(P>0.05);however,after nursing intervention,the self-management ability in the experimental group was significantly better than that in the control group(P<0.05).There were no significant differences in psychological resilience scores between the two groups before nursing intervention(P>0.05);after the intervention,all psychological resilience scores in the experimental group were significantly higher than those in the control group(P<0.05).Before the intervention,there was no significant difference in quality of life scores between the two groups(P>0.05);post-intervention,the quality of life scores in the experimental group were significantly higher than those in the control group(P<0.05).The satisfaction scores for nursing care in the experimental group were all higher than those in the control group,with statistically significant differences(P<0.05).Conclusion The application of quality nursing care in ICU patients with severe cirrhosis complicated by upper gastrointestinal bleeding can yield favorable outcomes,improving clinical symptoms,reducing negative emotions,and accelerating patient recovery,indicating its clinical application value.

关 键 词：重症肝硬化 上消化道出血 优质护理 

分 类 号：R47[医药卫生—护理学]