综合护理干预对开颅术后消化道应激性溃疡患者预后的影响

目的评价综合护理干预措施对开颅术后消化道应激性溃疡患者预后的影响。方法选取驻马店市中心医院2018-01—2019-06治疗的开颅术后消化道应激性溃疡患者78例,按照随机化原则分为2组,每组39例,对照组患者给予常规护理干预措施,观察组患者给予综合护理干预措施,对比2组患者干预前后恢复有效率、临床护理质量评分、患者生存质量评分。结果对照组患者经护理干预后,有效率为82.05%,干预组为92.31%,干预组患者有效率高于对照组(P<0.05)。对照组患者对于临床提供的体征监测、生活护理、用药及并发症预防等护理质量评分均低于干预组(P<0.01)。对照组患者生理功能、活动度、精神状态、社会功能及家庭融入度等生存质量指标评分均低于干预组(P<0.01)。结论综合护理干预措施较常规护理措施能更有效改善开颅术后消化道应激性溃疡患者的预后。

The effect of comprehensive nursing intervention on the prognosis of stress ulcer after gastrointestinal operation

Objective To evaluate the effect of comprehensive nursing interventions on the prognosis of patients with gastrointestinal stress ulcer after craniocerebral operation.Methods Seventy-eight patients with postoperative craniocerebral stress ulcers admitted to Zhumadian Central Hospital from January 2018 to June 2019 were selected and divided into 2 groups according to the principle of randomization.Routine nursing intervention measures,patients in the observation group were given comprehensive nursing intervention measures,comparing the recovery efficiency,clinical nursing quality score,and patient quality of life score of the two groups of patients before and after intervention.Results After nursing intervention,the effective rate of recovery was 82.05%in the control group and 92.31%in the intervention group.The effective rate of disease recovery in the intervention group was higher than that in the control group,P<0.05.The quality of care scores for clinical signs provided by the control group,life care,medication and prevention of complications were lower than those of the intervention group,P<0.01.The scores of quality of life indicators such as physiological function,activity,mental state,social function and family integration in the control group were lower than those in the intervention group,P<0.01.Conclusion Comprehensive nursing interventions can improve the prognosis of patients with gastrointestinal stress ulcer after craniocerebral surgery more effectively than conventional nursing measures.