全面化护理干预对胃出血内镜下治疗后患者的心理状态及预后的影响  

Effect of Comprehensive Nursing Intervention on Psychological State and Prognosis of Patients with Gastric Hemorrhage after Endoscopic Treatment

作　　者：罗茜 LUO Qian(Endoscopy Room,The First People’s Hospital of Linchuan District of Fuzhou City,Fuzhou 344000,China)

机构地区：[1]江西省抚州市临川区第一人民医院内镜室,江西抚州344000

出　　处：《中国伤残医学》2024年第21期156-160,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨全面化护理干预在胃出血患者内镜下治疗后的应用效果。方法:选取2021年5月—2024年5月抚州市临川区第一人民医院行内镜治疗的60例胃出血患者为研究对象,采用随机数字表法将其分为对照组和观察组,各30例。对照组采取常规护理干预,观察组采取全面化护理干预。两组均持续干预至患者出院。比较两组心理状态、并发症发生情况及复发情况、生活质量、护理满意度。结果:干预后,观察组汉密尔顿焦虑量表、汉密尔顿抑郁量表评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组健康调查简表、护理满意度调查表中各个维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生及复发率为6.66%,低于对照组的26.64%,差异有统计学意义(P<0.05)。结论:为胃出血内镜下治疗患者实施全面化护理干预,有助于改善其不良心理状态,降低并发症发生及复发率,改善其生活质量,从而提升患者的护理满意度。Objective:To explore the effect of comprehensive nursing intervention on the psychological state and prognosis of patients with gastric hemorrhage after endoscopic treatment.Methods:A total of 60 patients with gastric hemorrhage who underwent endoscopic treatment in the First People’s Hospital of Linchuan District of Fuzhou City from May 2021 to May 2024 were selected as the study objects,and were divided into a control group and an observation group by random number table method,with 30 cases in each group.The control group received routine nursing intervention,and the observation group received comprehensive nursing intervention.Both groups continued the intervention until the patients were discharged from hospital.The psychological state,occurrence and recurrence of complications,quality of life and nursing satisfaction of the two groups were compared.Results:After intervention,the scores of Hamilton Anxiety Scale and Hamilton Depression Scale in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of all dimensions in the MOS Item Short Form Health Survey and nursing satisfaction questionnaire in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence rate of complications and recurrence in the observation group was 6.66%,which was lower than 26.64%in the control group,the difference was statistically significant(P<0.05).Conclusion:The implementation of comprehensive nursing intervention for patients with endoscopic treatment of gastric hemorrhage is helpful to improve their adverse psychological state,reduce the occurrence and recurrence rate of complications,improve their quality of life,and thus enhance the nursing satisfaction of patients.

关 键 词：胃出血 内镜 全面化护理干预 心理状态 并发症 生活质量 护理满意度 

分 类 号：R473[医药卫生—护理学]