针对性护理在肝硬化合并上消化道出血患者中的效果分析

严健芬 师瑞月 刘婷婷 聂莎 谭庆红

[摘要] 目的 研究针对性护理在肝硬化合并上消化道出血患者中的效果。方法 方便选取2017年1月—2018年2月该院收治的60例肝硬化合并上消化道出血患者作为研究对象，通过随机分组的方式分为对照组和实验组，每组30例，对对照组患者采取常规护理，实验组患者在此基础上配合针对性护理，对比两组患者的护理效果以及患者的治疗依从性。结果 实验组患者的护理有效率为86.7%，明显优于对照组患者，差异有统计学意义（χ2=4.40，P=0.04），并且患者的治疗依从率为93.3%，明显高于对照组患者，差异有统计学意义（χ2=4.30，P=0.04）。结论 针对性护理，可以更加有效的提高肝硬化合并消化道出血的患者的护理效果，提高患者的治疗依从性，有效的帮助患者改善的综合状态，提高患者的生活质量和生活自理能力，改善患者的心理状态。

[关键词] 针对性护理;肝硬化合并上消化道出血;护理效果

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1674-0742（2018）09（a）-0159-03

Effectiveness of Targeted Nursing in Patients with Liver Cirrhosis Complicated with Upper Gastrointestinal Bleeding

YAN Jian-fen， SHI Rui-yue， LIU Ting-ting， NIE Sha， TAN Qing-hong

Department of Gastroenterology， Shenzhen People's Hospital， Shenzhen， Guangdong Province， 518002 China

[Abstract] Objective To study the effect of targeted nursing in patients with cirrhosis and upper gastrointestinal bleeding. Methods A total of 60 patients with cirrhosis complicated with upper gastrointestinal hemorrhage who were admitted to the hospital from January 2017 to February 2018 were convenient selected as the study subjects. They were randomly divided into control group and experimental group， 30 cases in each group. Patients in the control group were given routine care. The patients in the experimental group were on this basis with targeted care， and the care effects of the two groups of patients were compared with the treatment compliance of the patients. Results The effective rate of the patients in the experimental group was 86.7%， which was significantly better than that in the control group，the difference was statistically sigmficant，（χ2=4.40， P=0.04）， and the patient compliance rate was 93.3%， which was significantly higher than that of the control group，the difference was statistically sigmficant（χ2=4.30， P=0.04）. Conclusion Targeted nursing can effectively improve the nursing effect of patients with cirrhosis complicated with gastrointestinal hemorrhage， improve the patient's compliance with treatment， effectively help patients improve their comprehensive status， improve patients' quality of life and self-care ability， improve patients' state of mind.

[Key words] Targeted nursing; Cirrhosis with upper gastrointestinal bleeding; Nursing effect

肝硬化是一種常见的慢性肝病，是由于多种致病菌长期反复损害而导致的一种肝脏细胞纤维化疾病，如果不及时进行处理，很容易引发出血，从而导致患者休克，肝硬化通常与病毒感染、慢性酒精中毒等因素有关，对患者的生命安全问题有严重的影响[1]，并且会给患者的家庭带来一定的负担，肝硬化合并上消化道出血的病情一旦发病，病情进展很快，预后较差，如果不进行及时的进行治疗，便会产生严重的影响[2]，所以为了帮助患者可以更好的恢复身体健康，该文方便选取2017年1月—2018年2月该院收治的60例肝硬化合并上消化道出血患者作为研究对象，然后研究针对性护理在肝硬化合并上消化道出血患者中的效果，主要内容如下所示。