摘要
目的探讨预见性护理对肝硬化合并上消化道出血的预防效果。方法选取2012年8月—2014年8月收治的肝硬化合并上消化道出血患者90例作为研究对象,随机分为对照组和观察组各45例。对照组行常规护理,观察组在对照组的基础上行预见性护理。护理前后行简明健康状况调查表(the MOS item short form health survey,SF-36)评分,采用调查问卷形式评估两组用药、饮食及保暖依从性,记录两组患者再出血情况和平均出血次数。计量资料组间比较采用t检验,组内比较采用配对t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果观察组护理后饮食依从性、用药依从性、保暖依从性评分分别为(9.16±0.53)、(9.24±0.58)、(9.10±0.42)分,均显著高于对照组的(8.04±1.29)、(8.27±1.36)、(7.98±1.37)分,差异均有统计学意义(均P<0.05)。观察组护理后躯体健康、社会功能、心理健康、总体健康得分分别为(93.68±5.29)、(89.64±7.25)、(94.18±4.26)、(91.34±6.28)分,均显著高于对照组的(85.17±6.43)、(82.34±5.89)、(85.14±6.20)、(83.37±5.29)分,差异均有统计学意义(均P<0.05)。观察组再出血率为6.67%,显著低于对照组的22.22%,观察组平均出血次数为(1.03±0.37)次,显著低于对照组的(2.14±0.59)次,差异均有统计学意义(均P<0.05)。结论预见性护理可降低肝硬化合并上消化道出血患者的再出血率,提高患者生活质量。
Objective To investigate the preventive effect of predictive nursing in hepatic cirrhosis with upper, gastrointestinal hemorrhagq.Methods 90 cases of hepatic cirrhosis complicated with upper gastrointestinal hemorrhage from August 2012 to August 2014 were selected and randomly, divided into the control group and the observation group（n=45）.The patients in control group received routine nursing.Based on the control group,the patients in observation group received preventive nursing.The MOS item short form health sorvey（SF-36） score was performed before and after nursing.The drug use,diet and keeping warm com- pliance were ecaluated by questionnaires.The rebleeding rates and the average times of bleeding in the two groups were recorded. The comparison of measurement data between groups was performed with t test and the comparison in group was performed with paired t test,the count data with chi square test,P〈0.05 were considered statistically significant.Results The scores of diet,medi- cation and keeping warm compliance in the observation group after nursing [（9.16 ± 0.53）,（9.24 ± 0.58）,（9.10 ± 0.42）points] were significantly higher than those in the control group [（8.04 ± 1.29）,（8.27 ± 1.36）,（7.98 ± 1.37）points],the differences were statistically siguificant（all P〈0.05）.The scores of physical health,social function,mental health and general health in the observation group after nursing [（93.68 ± 5.29）,（89.64 ± 7.25）,（94.18 ± 4.26）,（91.34 ± 6.28）points] were significantly higher than those in the control group [（85.17 ± 6.43）,（82.34 ± 5.89）,（85.14 ± 6.20）,（83.37 ± 5.29）points],the differences were statistically significant（aU P〈0.05）.The re- breeding rate in the observation group （6.67%） was significantly lower than that in the control group（22.22%） and the average times of bleeding in the observation group [（1.03 ± 0.37）times] was significantly lower than that of the control group [（2.14 ± 0.59）times],the dif- ferences were statistically significant（all P〈0.05）.Conclusion Predictive nursing can reduce the rate of rebleeding in patients with hepatic cirrhosis and upper gastrointestinal hemorrhage,improve the quality of life.
出处
《社区医学杂志》
2016年第2期22-24,共3页
Journal Of Community Medicine
关键词
肝硬化
上消化道出血
预见性护理
出血次数
治疗依从性
Hepatic cirrhosis,Upper gastrointestinal hemorrhage,Predictive nursing
Times of bleeding, Treatment compliance
