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目的研究晚间护理干预应用于肝硬化消化道出血患者中的意义。方法 86例肝硬化消化道出血患者,以随机原则分为对照组与观察组,各43例。对照组实施一般护理,观察组在对照组基础上予以晚间护理干预。观察两组出血停止时间、住院时间、护理依从性以及复发情况。结果对照组出血停止时间及住院时间分别为(26.49±5.67)h、(16.74±6.82)d,观察组出血停止时间及住院时间分别为(19.82±4.15)h、(10.14±4.28)d,观察组出血停止时间及住院时间均明显短于对照组,差异具有统计学意义(P<0.05);观察组复发率为4.65%,明显低于对照组的18.60%,差异具有统计学意义(P<0.05);观察组护理总依从率为95.35%,明显高于对照组的79.07%,差异具有统计学意义(P<0.05)。结论晚间护理干预应用于肝硬化消化道出血患者中的临床价值较高,能够有效改善患者护理依从性,控制病情发展,缓解其痛苦,缩短住院时间,降低复发风险,值得推广。
Objective To study the significance of evening nursing intervention in patients with cirrhosis and gastrointestinal bleeding. Methods Eighty-six patients with cirrhosis and gastrointestinal bleeding were randomly divided into control group and observation group, with 43 cases in each group. Control group to implement general care, observation group on the basis of the control group to be evening nursing intervention. The bleeding stop time, hospitalization time, nursing compliance and relapse were observed. Results The bleeding stop time and hospital stay in the control group were (26.49 ± 5.67) h and (16.74 ± 6.82) days, respectively, and the stopping time and hospital stay in the observation group were (19.82 ± 4.15) and (10.14 ± 4.28) d, respectively The bleeding stop time and hospitalization time were significantly shorter than the control group, the difference was statistically significant (P <0.05); the recurrence rate of the observation group was 4.65%, significantly lower than the control group of 18.60%, the difference was statistically significant (P < 0.05). The total compliance rate of the nursing group was 95.35%, which was significantly higher than that of the control group (79.07%), the difference was statistically significant (P <0.05). Conclusions The application of evening nursing intervention in patients with cirrhosis and gastrointestinal bleeding is of high clinical value. It can effectively improve patient compliance, control disease progression, relieve pain, shorten hospital stay and reduce the risk of relapse.