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目的探讨对急性上消化道出血内镜下治疗的患者行责任制整体护理干预的临床效果。方法 108例急性上消化道出血内镜下治疗的患者,根据护理方案的不同分为常规组和整体组,各54例。常规组行基础护理干预,整体组行责任制整体护理干预。比较两组护理满意度、一次性止血成功率及再出血率。结果整体组护理满意度100.00%高于常规组的85.19%,差异具有统计学意义(χ~2=8.640,P=0.003<0.05)。整体组一次性止血成功率92.59%高于常规组的59.26%,差异具有统计学意义(χ~2=16.143,P=0.000<0.05)。整体组再出血率7.41%低于常规组的22.22%,差异具有统计学意义(χ~2=4.696,P=0.030<0.05)。结论对急性上消化道出血内镜下治疗的患者行责任制整体护理干预,不仅能够在一定程度上提高一次性止血成功率和护理满意度,同时还能够降低再出血率。
Objective To investigate the clinical effect of holistic nursing intervention on patients undergoing endoscopic treatment of acute upper gastrointestinal hemorrhage. Methods 108 cases of acute upper gastrointestinal bleeding endoscopic treatment of patients, according to different nursing programs are divided into conventional group and the whole group, each 54 cases. The conventional group basic nursing intervention, the overall group responsibility system overall nursing intervention. The two groups of nursing satisfaction, one-time hemostasis success rate and rebleeding rate. Results The satisfaction rate of the whole group was 100.00% higher than that of the conventional group (85.19%), the difference was statistically significant (χ ~ 2 = 8.640, P = 0.003 <0.05). The overall one-off hemostatic success rate was 92.59% higher than the conventional group of 59.26%, the difference was statistically significant (χ ~ 2 = 16.143, P = 0.000 <0.05). The rate of rebleeding in the whole group was 7.41% lower than that in the control group (22.22%), the difference was statistically significant (χ ~ 2 = 4.696, P = 0.030 <0.05). Conclusion The overall nursing intervention for patients undergoing endoscopic treatment of acute upper gastrointestinal hemorrhage can not only improve the success rate of one-time hemostasis and satisfaction with nursing, but also reduce the rate of rebleeding.