肝硬化合并上消化道出血患者的急救与护理干预  

First aid and nursing intervention for patients with cirrhosis and upper gastrointestinal bleeding

作　　者：徐光燕 鲍金雷 XU Guangyan;BAO Jinlei(Department of Hepatology,Qilu Hospital,Shandong University,Jinan 250000,China;School of Nursing,Shandong Xiehe University,Jinan 250109,China)

机构地区：[1]山东大学齐鲁医院肝病科,东济南250000山 [2]山东协和学院护理学院,山东济南250109

出　　处：《中华灾害救援医学》2024年第10期1237-1240,共4页Chinese Journal of Disaster Medicine

基　　金：中国民办教育协会2022年度规划课题(学校发展类)(CANFZG22329)。

摘　　要：目的探索对于肝硬化合并上消化道出血患者采取急救护理的临床价值。方法回顾性分析2022年6月至2024年6月在山东大学齐鲁医院就诊的100例肝硬化合并上消化道出血患者的临床资料,根据护理模式的不同,分为观察组(采取综合急救护理干预,n=50)和对照组(采取常规护理干预,n=50)。比较两组患者急救时间相关指标、护理效果、焦虑和抑郁程度、护理满意度。结果观察组患者接诊到急救时间、建立静脉通路时间、急诊停留时间、止血时间、住院时间均显著短于对照组患者(P<0.001)。观察组患者治疗后49例有效,临床有效率为98.00%,显著高于对照组患者仅40例有效,临床有效率80.00%(P=0.004)。干预前,两组患者焦虑自评量表(Self-rating Anxiety Scale,SAS)评分和抑郁自评量表(Self-rating Depression Scale,SDS)评分均无显著差异(P>0.05)。干预后,两组患者SAS评分和SDS评分均显著降低(P<0.001),且观察组患者的SAS评分(P<0.001)和SDS评分(P<0.001)均显著低于对照组。观察组护理满意度为94.00%,对照组护理满意度为76.00%,观察组显著高于对照组(P=0.012)。结论对于肝硬化伴上消化道出血的患者,有效的急救护理干预可显著缩短急诊相关时间,提高护理效果,改善患者不良心理,提升患者护理满意度。Objective To explore the clinical value of emergency nursing intervention for patients with liver cirrhosis complicated by upper gastrointestinal bleeding.Methods A retrospective analysis was conducted on the clinical data of 100 patients with liver cirrhosis and upper gastrointestinal bleeding who were treated at Qilu Hospital of Shandong University from June 2022 to June 2024.Based on the nursing approach,patients were divided into an observation group(comprehensive emergency nursing intervention,n=50)and a control group(conventional nursing intervention,n=50).Emergency response time indicators,nursing effectiveness,levels of anxiety and depression,and patient satisfaction with care were compared between the groups.Results The observation group demonstrated significantly shorter times from admission to emergency response,intravenous access establishment,emergency department stay,bleeding cessation,and hospitalization duration compared to the control group(P<0.001).In the observation group,49 patients showed effective outcomes,with a clinical efficacy rate of 98.00%,significantly higher than the control group’s 80.00%(40 effective cases,P=0.004).Prior to intervention,there were no significant differences in anxiety(SAS score)or depression(SDS score)levels between the groups(P>0.05).Post-intervention,SAS and SDS scores significantly decreased in both groups(P<0.001),with the observation group showing markedly lower SAS(P<0.001)and SDS(P<0.001)scores compared to the control group.Nursing satisfaction in the observation group was 94.00%,significantly higher than the control group’s 76.00%(P=0.012).Conclusion For patients with liver cirrhosis and upper gastrointestinal bleeding,effective emergency nursing intervention can significantly reduce emergency response times,improve nursing outcomes,alleviate adverse psychological states,and enhance patient satisfaction with care.

关 键 词：肝硬化 胃肠出血 急救 护理 出血时间 

分 类 号：R459.7[医药卫生—急诊医学]