急性上消化道出血的护理研究

目的探讨急性上消化道出血的护理策略，为临床护理提供依据。方法选取济南军区总医院2011年9月～2013年7月收治的急性上消化道出血患者作为研究对象，将纳入的64例患者随机分为对照组及观察组，各32例。对照组给予一般护理．观察组在此基础上给予治疗护理、心理护理、健康教育等。观察比较两组的临床疗效、平均止血时间、平均住院天数及再出血发生率，并评定患者满意度。结果护理后，观察组总有效率（93．75％）显著高于对照组（84．38％），差异有统计学意义（P〈0．05）；观察组平均止血时间[（25．19±3．68）h]、平均住院天数[（9．27±2．83）d1及再出血发生率（3．13％）均显著低于对照组[（34．21±5．04）h、（12．04±3．16）d、9．38％]，差异均有统计学意义（P〈0．05或P〈0．01）；观察组护理满意度（96．88％）明显高于对照组（65．63％），差异有统计学意义（P〈0．05）。结论认真细致的护理能有效提高临床疗效，减少止血时间，缩短住院时间，降低再出血发生率，提高患者满意度，值得临床推广。

Nursing study on acute upper gastrointestinal hemorrhage

Objective To explore the nursing measures of acute upper gastrointestinal hemorrhage, and to provide refer- ence for clinical nursing. Methods The patients with acute upper gastrointestinal hemorrhage admitted to Ji＇nan Mili- tary General Hospital from September 2011 to July 2013 were chosen as objects, 64 cases enrolled in this study were randomly divided into control group and observation group, with 36 cases in each group. The control group was given routine nursing method, while the observation group was given treating nursing, psychology nursing, health education, and so on, on the basis of routine nursing. The clinical nursing effect, average hemostatic time, average length of hospi- tal stay, and the incidence of bleeding again of two groups were observed and compared, and the patient satisfaction was evaluated. Results After nursing, the total effective rate of observation group （93.75%） was higher than that of con- trol group （84.38%）, the difference was statistically significant （P 〈 0.05）. The average hemostatic time, average length of hospital stay, and the incidence of bleeding again of observation group [（25.19±3.68） h, （9.27±2.83） d, 3.13%] were lower than those of control group [（34.21±5.04） h, （12.04±3.16） d, 9.38%], the differences were statistically significant （P 〈 0.05 or P 〈 0.01）. The patient satisfaction of observation group （96.88%） was better than that of control group （65.63%）, the difference was statistically significant （P 〈 0.05）. Conclusion Serious, careful nursing can help to im- prove clinical efficacy, reduce hemostatie time, shorten average length of hospital stay, decrease the incidence of bleed- ing again, and enhance the patient satisfaction, which is worthy of clinical promotion.