以患者为主导的心理护理在肝硬化消化道大出血患者中的应用

目的：探讨以患者为主导的心理护理对消化道大出血患者的影响。方法：随机将80例肝硬化消化道大出血患者分为两组：对照组40例，给予常规护理；观察组40例，给予以患者为主导的心理护理干预。结果：入院48h后两组患者状态焦虑、特质焦虑评分均有显著改善（P〈O．05），但观察组改善更为明显（P〈O．05）c观察组满意率90．0％（36／40），明显高于对照组62．5％（25／40），不满意率仅5．O％（2／40），低于对照组22．5％（9／40），差异均有统计学意义（P〈O．05）。观察组并发症发生率10．0％（4／40），明显低于对照组30．O％（12／40），差异有统计学意义（x2=5．000，P=O．025）。观察组入院治疗48h内止血成功率为92．5％（37／40），高于对照组75．0％（30／40）（x2=5．29，P〈O．05）。结论：以患者为主导的护理干预可显著缓解消化道大出血患者焦虑，并可提高止血成功率，值得临床应用。

Application of Patient-led Psychological Nursing in Gastrointestinal Bleeding Patients with Cirrhosis

Objective： To investigate the influence of patient-led psychological nursing in gastrointestinal bleeding patients with cirrhosis. Method： 80 gastrointestinal bleeding patients with cirrhosis were randomly divided into two groups.40 patients in the control group were received conventional care, 40 patients in the observation group were received patient-led psychological nursing.Result： State anxiety, trait anxiety scores in the two groups improved significantly 48h after admission （ P〈0.05 ）, but patients in the observation group improved more significantly （ P〈0.05 ） .Satisfaction rate in the observation group was 90.0% （ 36/40 ）, significantly higher than 62.5% （ 25/40 ） in the control group.No satisfaction rate was only 5.0% （ 2/40 ）, lower than 22.5% （ 9/40 ） in the control group, there were statistically significant （ P〈0.05 ） .Complication rate in the observation group was 10.0% （ 4/40 ）, significantly lower than 30.0% （ 12/40 ） in the control group, there was significant （X2=5.000, P=0.025 ） .Hemostasis success rate in the observation group hospitalized 48 h was 92.5% （ 37/40 ）, higher than 75.0% （ 30/40 ） in the control group （ X2=5.29, P〈0.05 ） .Conclusion： Patient-led psychological nursing can significantly alleviate anxiety in patients with gastrointestinal bleeding, and improve hemostasis success rate, worthy of clinical application.