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目的探讨出血诱因知识普及联合舒适护理对肝硬化上消化出血患者的影响。方法随机双盲法将本院2013年2月—2015年2月收治的100例肝硬化上消化道出血患者分为对照组与观察组各50例,对照组采取常规护理,观察组在对照组基础上行健康教育(出血诱因知识普及)联合舒适护理,比较两组平均止血时间、出血次数、住院时间、干预前后疾病知识认知度及遵医行为评分。计量资料比较采用t检验,P<0.05为差异有统计学意义。结果观察组的止血时间、出血次数、住院时间分别为(2.4±0.6)d、(1.4±1.1)次、(14.3±6.4)d,对照组分别为(4.1±1.4)d、(2.6±1.4)次、(18.4±9.6)d,两组患者比较,差异均有统计学意义(均P<0.05)。两组患者干预后疾病知识认知度、遵医行为评分均明显上升,分别为(97.5±2.5)、(86.3±5.9)分与(92.2±2.3)、(81.4±4.2)分,与干预前[(54.4±6.2)、(53.5±7.1)分与(60.7±5.8)、(60.1±6.0)分]比较,差异均有统计学意义(均P<0.05);干预后两组疾病知识认知度、遵医行为评分比较,差异均有统计学意义(均P<0.05)。结论出血诱因知识普及联合舒适护理能明显提高肝硬化上消化道出血患者健康知识认知度及遵医行为,显著缩短止血时间及住院时间,减少出血次数。
Objective To investigate the effect of universal hemorrhage knowledge and combined comfort nursing on cirrhotic patients with upper gastrointestinal bleeding. Methods A total of 100 patients with cirrhosis and upper gastrointestinal bleeding admitted to our hospital from February 2013 to February 2015 were randomly divided into two groups: control group and observation group, 50 cases in each group. The control group was given routine nursing. The observation group in the control group On the basis of health education on the basis of universal knowledge of bleeding incentives, we compared the average hemostasis time, the number of bleeding, the length of hospital stay, the knowledge of disease before and after intervention and the compliance score. Measurement data were compared using t test, P <0.05 for the difference was statistically significant. Results The bleeding time, bleeding times and hospital stay in the observation group were (2.4 ± 0.6) d, (1.4 ± 1.1) and (14.3 ± 6.4) d, respectively, and those in the control group were (4.1 ± 1.4) days and ) Times and (18.4 ± 9.6) days respectively. There was significant difference between the two groups (all P <0.05). After intervention, the awareness of disease knowledge and compliance scores were significantly increased in the two groups (97.5 ± 2.5, 86.3 ± 5.9, and (92.2 ± 2.3), (81.4 ± 4.2), respectively) [(54.4 ± 6.2), (53.5 ± 7.1) points and (60.7 ± 5.8), (60.1 ± 6.0) points respectively), the difference was statistically significant (both P <0.05) Degrees, compliance scores, the differences were statistically significant (P <0.05). Conclusion The combination of hemorrhagic insult and universal comfort nursing can significantly improve the cognition of health knowledge and compliance of patients with cirrhosis patients with upper gastrointestinal bleeding, significantly shorten the time of hemostasis and hospitalization, and reduce the number of bleeding.