胃溃疡合并大出血患者实施系统护理干预的临床效果

孔琳洁，李晓艳

（凤翔县医院，陕西 宝鸡，721400）

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摘要：

目的 分析胃溃疡合并大出血患者实施系统护理干预的临床效果。方法 对我院收治的89例胃溃疡合并大出血患者的临床资料进行回顾性分析，按照护理方法将患者分为对照组（n=42）和观察组（n=47）；对照组患者给予专科治疗结合常规内科护理；观察组患者在对照组基础上实施系统护理干预。比较两组患者的临床效果。结果 观察组患者的住院时间、出血时间、出血复发率、总出血量均明显优于对照组（P<0.05）；观察组护理满意度为95.74%，临床总有效率为93.62%，明显高于对照组的 80.95%、78.57%（P<0.05）；护理后，两组患者生活质量评分明显优于护理前，且观察组明显优于对照组（P<0.05）。结论 胃溃疡合 并大出血患者实施系统护理干预可加快病情的转归、改善预后，可进一步提高对患者的护理质量，值得临床借鉴应用。

关键词：胃溃疡大出血；系统护理干预；健康宣教

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2017)35-0135-03

Clinical effect of systemic nursing intervention in patients with gastric ulcer complicated with hemorrhage
KONG Lin-jie, LI Xiao-yan
(the Hospital of Fengxiang County, Baoji 721400, China)

ABSTRACT: Objective To analyze the clinical effect of systemic nursing intervention in patients with gastric ulcer complicated with massive hemorrhage. Methods The clinical data of 89 patients with gastric ulcer complicated with massive hemorrhage were retrospectively analyzed, all the patients were divided into control group (n=42) and observation group (n= 47). The control group was given specialist therapy combined with routine internal medicine nursing, and the observation group was treated with systemic nursing intervention on the basis of the control group. The clinical effects of the two groups were compared. Results The hospital stays, bleeding time, bleeding recurrence rate and total bleeding volume of the observation group were better than the control group (P<0.05). The nursing satisfaction and total effective rate of the observation group were 95.74% and 93.62% respectively, which were higher than 80.95% and 78.57% of the control group (P<0.05). After nursing, the quality of life scores of the two groups were better than those before nursing, and those of the observation group were better than the control group (P<0.05). Conclusion Systemic nursing intervention in patients with gastric ulcer complicated with massive hemorrhage can speed up the prognosis of the disease, improve the prognosis and the quality of life for the patients, which is worthy of clinical application.
KEYWORDS: gastric ulcer complicated with massive hemorrhage; systemic nursing intervention; health education

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