症状护理在急性上消化道出血护理中应用效果探讨

目的探讨症状护理在急性上消化道出血患者治疗中的临床疗效。方法选取于该院消化内科接受治疗的急性上消化道出血患者62例,随机分至观察组和对照组,各31例,对照组患者仅予常规护理,观察组患者在常规护理的基础上,还给予饮食干预、健康教育及心理护理措施,比较两组患者治疗后的临床疗效、治愈病例平均住院天数、上消化道出血复发率及满意度。结果观察组患者治疗总有效率为96.77%,明显高于对照组的74.19%;观察组治愈患者平均住院天数为(8.21±2.72)d,明显短于对照组的(11.54±4.02)d;观察组患者复发率为3.33%,明显低于对照组的26.09%;观察组患者满意度为100%,明显高于对照组的70.97%,差异均有统计学意义(P<0.05)。结论对急性上消化道出血患者开展常规护理+饮食干预+健康教育+心理护理措施可提高疾病治疗的总有效率,缩短住院天数,降低疾病复发率,增加患者对护理服务的满意度。

The application of symptoms nursingcare on the nursing care of acute hemorrhage of upper digestive tract

Objective To investigate the clinical effect of symptoms nursingcare in the treatment of patients with acute upper gastrointestinal hemorrhage. Methods 62 patients with acute upper gastrointestinal hemorrhage in the department of internal medicine in our hospital were selected,they were randomly divided into the observation group and control group,with 31 cases in each group,the patients in control group only received conventional nursing care,while in the observation group treated based on the routine nursing,the diet intervention,health education and psychological nursing were performed, the clinical curative effect of the two groups were compared after treatment,and the average hospitalization days,cured cases of upper digestive tract hemorrhage relapse rate and degree of satisfaction were also analyzed. Results In the observation group,the total effective rate was 96.77%, significantly higher than that in control group（74.19%）;the average hospital stay of the observation group was（8.21±2.72）days, significantly shorter than that of the control group（11.54±4.02）days;the recurrence rate of the observation group was 3.33%, significantly lower than that of the control group（26.09%）;the patient satisfaction of the observation group was 100%,significantly higher than that in the control group（70.97%）,the differences were statistically significant（P0.05）. Conclusion The patients with routine nursing and diet intervention and health education and psychological nursing measures can improve the total effective rate of treatment of acute upper gastrointestinal bleeding,shorter hospital stay,reduce the relapse rate of the disease,increase patients＇ satisfaction.