中华消化病与影像杂志(电子版) ›› 2018, Vol. 08 ›› Issue (06) : 271 -274. doi: 10.3877/cma.j.issn.2095-2015.2018.06.008 × 扫一扫
所属专题： 文献；
临床护理
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Jiali Xi1, Boer Cai1,†(), Yunlin Wu1, Ping Chen1, Qing Feng1
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奚佳丽, 蔡波尔, 吴云林, 陈平, 丰青. 护理补充干预对肝硬化患者食管静脉曲张套扎术后影响[J]. 中华消化病与影像杂志(电子版), 2018, 08(06): 271-274.
Jiali Xi, Boer Cai, Yunlin Wu, Ping Chen, Qing Feng. Effects of nursing supplementary intervention on cirrhosis patients after esophageal variceal ligation[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2018, 08(06): 271-274.
观察护理补充干预对预防肝硬化伴食管静脉曲张套扎术后影响的效果，为临床护理工作提供参考。
收集上海交通大学医学院附属瑞金医院北院消化内科2015年5月至2016年5月进行肝硬化伴食管静脉曲张套扎术的87例患者，采用数字表法随机分为对照组(43例)和观察组(44例)，对照组给予基础护理，而观察组进行心理干预、饮食干预、用药干预、出院指导等护理补充干预。观察并对比两组护理效果。
两组护理效果比较，(1)观察组患者再出血率为9.09%，较对照组的25.58%明显降低，差异有统计学意义(P<0.05)；(2)对两组患者术后并发症随访发现，观察组患者术后并发率为11.36%，较对照组患者术后并发率的30.23%明显降低，差异有统计学意义(P<0.05)；(3)对照组患者满意度为76.74%，观察组患者的满意度95.45%，差异有统计学意义(P<0.05)。
通过精心细致的护理补充干预可明显降低食管静脉曲张套扎术后再出血的发生率，减少术后并发症的发生，显著提高患者满意度，从而提高护理服务质量。
To investigate the effects of nursing supplementary intervention on cirrhosis patients after esophageal variceal ligation so as to provide reference for clinical nursing work.
A total of 87 cirrhosis patients with endoscopic variceal ligation in the Department of Gastroenterology of Ruijin Hospital North Affiliated to Shanghai JiaoTong University School of Medicine from May 2015 to May 2016 were collected.All the patients were randomly divided into two groups as the control group(43 cases)and the observation group(44 cases)by random number table method.The patients in the control group received the traditional nursing cares, and the patients in the observation group received the nursing supplementary interventions including psychological intervention, dietary intervention, drug interventionand discharge guidance.The nursing effects of the two groups were observed and compared.
The nursing effects were statistically analyzed between the two groups: (1)The recurrent hemorrhage rate of patients in the observation group was 9.09%, which was lower than that of patients in the control group(25.58%), and the difference was statistically significant(P<0.05). (2)The postoperative complication rate of the observation group was 11.36%, which was lower than that of the control group(30.23%), and the difference was statistically significant(P<0.05). (3)The patient satisfaction of the observation group was 95.45%, which was higher than that of the control group(76.74%), and the difference was statistically significant(P<0.05).
The nursing supplementary intervention can obviously reduce the recurrent hemorrhage rate and complication rate of patients after esophageal variceal ligation, and then significantly improve the patient satisfaction and improve the quality of nursing service.