摘要
目的:探讨预见性和针对性护理在肝硬化并上消化道出血患者中的应用效果。方法:将96例肝硬化并上消化道出血患者按随机数字表分为观察组和对照组各48例,对照组给予常规护理,观察组实施预见性和针对性护理。结果:观察组出院时SAS和SDS评分低于对照组(P<0.05);观察组在抢救成功率、并发症发生率、对护理服务满意率方面与对照组比较差异有统计学意义(P<0.05);观察组患者出血次数少于对照组(P<0.05)。结论:预见性和针对性护理可减少出血次数,提高抢救成功率和护理服务满意度。
Objective ： To investigate the application effect of foreseeable and targeted nursing care in the patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage. Methods： 96 patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage were randomly divided into an observation group and a control group （48 patients for each group ）. The patients in the control group received routine nursing care and the patients in the observation group were given foreseeable and targeted nursing care. Results： The SAS and SDS scores at discharge were lower in the observation group than the control group （ P 〈 O. 05 ） ; there were statistically significant differences in the comparison of the success rate of rescue, the incidence of complications and the degree of patient＇s satisfaction with nursing service between the two groups （ P 〈 0.05）; the frequency of bleeding in patients was less in the observation group than the control group （ P 〈 O. 05 ）. Conclusion ： The foreseeable and targeted nursing care can reduce the frequency of bleeding and increase the success rate of rescue and patient＇s satisfaction.
关键词
预见性护理
针对性护理
肝硬化
上消化道出血
出血时间
Foreseeable nursing care
Targeted nursing care
Cirrhosis
Upper gastrointestinal bleeding
Bleeding time
