预见性护理在消化道溃疡患者出血控制中的应用
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摘要
目的:探讨预见性护理在消化道溃疡患者出血控制中的应用效果。方法:选择消化道溃疡患者240例为研究对象,随机分为观察组和对照组,每组各120例。两组都给予三联疗法治疗,治疗4周;对照组在治疗期间给予常规护理,观察组在治疗期间给予预见性护理。结果:经过治疗护理后,观察组与对照组的近期有效率分别为99.2%和89.2%,观察组近期有效率优于对照组(P<0.05)。观察组治疗后6个月、1年的出血率分别为0.0%和2.5%,低于对照组的11.7%和20.0%(P<0.05)。结论:预见性护理在消化道溃疡治疗中的应用能提高患者的近期疗效,有效预防出血的发生,有很好的应用价值。
Objective: To investigate the application effect of predictive nursing on bleeding control in patients with peptic ulcer. Methods:240 cases of patients with peptic ulcer were selected and randomly divided into observation group and control group,120 cases in each group. The patients in both groups were treated with triple therapy for 4 weeks. The patients in control group were treated with routine nursing and those in observation group were given predictive care. Results: The short-term effective rate in observation group( 99. 2 %) was better than that in control group( 89. 2 %) after the treatment and nursing( P < 0. 05). The bleeding rates in observation group were 0. 0 % and 2. 5 % respectively at the6 th month and 1st year after treatment,which were significantly lower than those in control group( 11. 7 % and 20. 0% respectively; P < 0. 05).Conclusion: The application of predictive nursing model in the treatment of peptic ulcer can improve the short-term curative effect and prevent the occurrence of hemorrhage,which is valuable.
Objective: To investigate the application effect of predictive nursing on bleeding control in patients with peptic ulcer. Methods:240 cases of patients with peptic ulcer were selected and randomly divided into observation group and control group,120 cases in each group. The patients in both groups were treated with triple therapy for 4 weeks. The patients in control group were treated with routine nursing and those in observation group were given predictive care. Results: The short-term effective rate in observation group( 99. 2 %) was better than that in control group( 89. 2 %) after the treatment and nursing( P < 0. 05). The bleeding rates in observation group were 0. 0 % and 2. 5 % respectively at the6 th month and 1st year after treatment,which were significantly lower than those in control group( 11. 7 % and 20. 0% respectively; P < 0. 05).Conclusion: The application of predictive nursing model in the treatment of peptic ulcer can improve the short-term curative effect and prevent the occurrence of hemorrhage,which is valuable.
引文
[1]孙桂华,张瑜,何晓娜.护理干预在32例消化道溃疡患者中的应用效果分析[J].中国实用医药,2015,10(19):258-259.
[2]Jiang GR,Ge HN,Liang GQ,et al.Therapeutic and recurrence-preventing effects of Qi-R eplenishing and BloodActivating Formula in rats with acetic acid-induced gastric ulcer[J].Asian Pac J Trop Med,2016,9(1):81-85.
[3]陈奕雯.APACHEⅡ评分在应激性溃疡预见性护理中的相关性研究[J].当代护士(学术版),2014,12(8):68-69,70.
[4]胡美芳.加强观察法在急性上消化道出血中的护理应用[J].中华全科医学,2011,9(1):148,158.
[5]刘静.急性脑梗死所致应激性溃疡出血的预见性护理[J].中国实用医药,2012,7(9):226-227.
[6]王宝凤.重型颅脑损伤并发应激性溃疡的预见性护理体会[J].安徽医学,2013,34(12):1847-1848.
[7]Kim DB,Chung WC,Lee SJ,et al.Analysis of risk factor and clinical characteristics of angiodysplasia presenting as upper gastrointestinal bleeding[J].Korean J Intern Med,2016,31(4):669-677.
[8]高晶晶.护理干预对消化性溃疡患者治疗依从性及疗效的影响研究[J].世界最新医学信息文摘(电子期刊),2016,16(80):220-220.
[9]单丽琴,安莉.健康教育与心理护理对胃十二指肠溃疡患者治疗依从性及护理能力的影响[J].中国继续医学教育,2016,8(12):237-239.
[2]Jiang GR,Ge HN,Liang GQ,et al.Therapeutic and recurrence-preventing effects of Qi-R eplenishing and BloodActivating Formula in rats with acetic acid-induced gastric ulcer[J].Asian Pac J Trop Med,2016,9(1):81-85.
[3]陈奕雯.APACHEⅡ评分在应激性溃疡预见性护理中的相关性研究[J].当代护士(学术版),2014,12(8):68-69,70.
[4]胡美芳.加强观察法在急性上消化道出血中的护理应用[J].中华全科医学,2011,9(1):148,158.
[5]刘静.急性脑梗死所致应激性溃疡出血的预见性护理[J].中国实用医药,2012,7(9):226-227.
[6]王宝凤.重型颅脑损伤并发应激性溃疡的预见性护理体会[J].安徽医学,2013,34(12):1847-1848.
[7]Kim DB,Chung WC,Lee SJ,et al.Analysis of risk factor and clinical characteristics of angiodysplasia presenting as upper gastrointestinal bleeding[J].Korean J Intern Med,2016,31(4):669-677.
[8]高晶晶.护理干预对消化性溃疡患者治疗依从性及疗效的影响研究[J].世界最新医学信息文摘(电子期刊),2016,16(80):220-220.
[9]单丽琴,安莉.健康教育与心理护理对胃十二指肠溃疡患者治疗依从性及护理能力的影响[J].中国继续医学教育,2016,8(12):237-239.