营养护理干预肝硬化并发上消化道患者的止血及康复效果研究
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摘要
目的:探讨营养护理干预肝硬化并发上消化道患者的止血及康复效果研究。方法:选取河北北方学院附属第一医院2017年2月—2018年3月87例肝硬化并发上消化道患者,并随机分为两组,对照组采用常规的护理干预,观察组在常规护理基础上采用营养护理干预,比较两组患者的干预有效率、出血情况、并发症发生情况及心理状态变化情况。结果:观察组的干预有效率(95. 5%)显著高于对照组(64. 3%),且具有统计差异。观察组中再出血患者和出血次数均少于对照组(P <0. 05)。干预后,观察组的SAS和SDS评分均显著低于对照组(P均<0. 05)。观察组并发症发生率显著低于对照组(P <0. 05)。结论:在肝硬化并发上消化道患者中采用营养护理干预具有较好的止血效果,加快患者康复,具有较高的护理价值。
Objective To investigate the effect of nutritional nursing intervention on hemostasis and rehabilitation of liver cirrhosis complicated with upper gastrointestinal tract. Method Eighty-seven patients with cirrhosis complicating upper gastrointestinal tract from February 2017 to March 2018 in our hospital were randomly divided into two groups. The control group received routine nursing interventions. The observation group used nutritional nursing interventions based on routine nursing. The effectiveness of the intervention,bleeding,complications,and changes in psychological status were compared between the two groups. Result The observation group's intervention efficiency (95. 5%) was significantly higher than the control group (64. 3%),and there was a statistical difference. The number of rebleeding patients and bleeding in the observation group were less than those in the control group (P < 0. 05). After the intervention,the SAS and SDS scores of the observation group were significantly lower than the control group (P all < 0. 05). The incidence of complications in the observation group was significantly lower than that in the control group (P < 0. 05). Conclusion Nutrient nursing intervention in patients with liver cirrhosis complicated with upper gastrointestinal tract has good hemostatic effect,accelerates the recovery of patients,and has high nursing value.
Objective To investigate the effect of nutritional nursing intervention on hemostasis and rehabilitation of liver cirrhosis complicated with upper gastrointestinal tract. Method Eighty-seven patients with cirrhosis complicating upper gastrointestinal tract from February 2017 to March 2018 in our hospital were randomly divided into two groups. The control group received routine nursing interventions. The observation group used nutritional nursing interventions based on routine nursing. The effectiveness of the intervention,bleeding,complications,and changes in psychological status were compared between the two groups. Result The observation group's intervention efficiency (95. 5%) was significantly higher than the control group (64. 3%),and there was a statistical difference. The number of rebleeding patients and bleeding in the observation group were less than those in the control group (P < 0. 05). After the intervention,the SAS and SDS scores of the observation group were significantly lower than the control group (P all < 0. 05). The incidence of complications in the observation group was significantly lower than that in the control group (P < 0. 05). Conclusion Nutrient nursing intervention in patients with liver cirrhosis complicated with upper gastrointestinal tract has good hemostatic effect,accelerates the recovery of patients,and has high nursing value.
引文
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[13]王莉.集束化营养护理干预对食管癌放疗病人生活质量、营养状况及不良反应的影响[J].护理研究,2015,29(29):3683-3685.
[2]任丽薇,毕思玲,张宇忠.肝硬化的研究进展[J].医学综述,2016,22(18):3549-3553.
[3]于海英.原发性胆汁性肝硬化临床诊疗研究[J].中国保健营养,2017,27(20):158.
[4]周广玉,吴海静.肝硬化合并上消化道出血患者行系统性护理干预对其疗效的影响[J].现代消化及介入诊疗,2016,21(2):352-354.
[5]任玉仙,马荣梅.优质护理服务在乙型肝炎后肝硬化伴上消化道出血中的护理效果[J].安徽医学,2016,34(4):1558-1559.
[6]白小杰,狄文玲.营养护理干预对糖尿病肾病临床中医辨证治疗的效果研究[J].中西医结合心血管病电子杂志,2016,4(8):118-119.
[7]魏茹风.早期营养护理干预改善胃癌术后患者各类营养评估指标观察[J].医药卫生(全文版),2016(2):101.
[8]童成贤,刘津,徐德平,等.妊娠期糖尿病产妇焦虑和抑郁情绪对妊娠结局的影响[J].国际精神病学杂志,2016(1):178-182.
[9]王英.肝炎肝硬化患者心理护理的体会[J].世界最新医学信息文摘,2016,16(42):264-265.
[10]李校天,姚希贤,冯丽英.肝硬化并发上消化道出血[J].中国全科医学,2003,6(6):451-452.
[11]王婷,李弈,张旭阳.肝硬化合并上消化道出血的护理进展[J].世界中医药,2016(b03):536-536.
[12]韩丹,张韬,张跃新.肝硬化上消化道出血的危险因素分析[J].成都医学院学报,2016,11(1):62-64.
[13]王莉.集束化营养护理干预对食管癌放疗病人生活质量、营养状况及不良反应的影响[J].护理研究,2015,29(29):3683-3685.