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Open Access Article

Contemporary Nursing. 2022; 3: (2) ; 1-5 ; DOI: 10.12208/j.cn.20220019.

The value of comprehensive nursing in the treatment of esophagogastric varices bleeding under endoscopy
综合护理在内镜下治疗食管胃底静脉曲张出血中的价值

作者: 祖纯, 张晓芹 *

上海交通大学医学院苏州九龙医院 江苏苏州

*通讯作者: 张晓芹,单位:上海交通大学医学院苏州九龙医院 江苏苏州;

发布时间: 2022-04-28 总浏览量: 427

摘要

目的 对发生食管胃底静脉曲张出血的患者采用内镜下治疗的方式具有比较理想的效果,在患者治疗期间采用综合护理干预,并分析这种护理方式的临床应用价值。方法 研究时间选择在2018年1月-2021年3月期间,在这一时间段内我院进行内镜下治疗的食管胃底静脉曲张出血患者30例为本次的研究对象,根据患者的入院顺序先后进行平均分组,对照组、实验组各54例,对照组患者接受常规护理,实验组患者接受综合护理干预,分析应用效果。结果 本研究中实验组患者术中、术后心率均低于对照组,再出血发生率、术后疼痛程度也低对照组,但是实验组患者心理状态以及生活质量改善情况均优于对照组,且实验组患者的护理满满意度高于对照组,P<0.05。结论 在内镜下治疗食管胃底静脉曲张出血时为患者采用综合护理干预,能够更加高效的缓解患者的临床症状,降低再出血的发生率,对改善患者的不良心态,提高治疗依从性有良好的促进作用,同时对改善患者的生活质量也有明显的效果。

关键词: 综合护理;内镜下治疗;食管胃底静脉曲张出血;护理效果

Abstract

Objective: To treat patients with esophagogastric variceal bleeding by endoscopic therapy has an ideal effect. During the treatment of patients, comprehensive nursing intervention is adopted, and the clinical application value of this nursing method is analyzed.
Methods: The study time was selected from January 2018 to March 2021. During this time period, 30 patients with esophageal and gastric varices bleeding who underwent endoscopic treatment in our hospital were the subjects of this study. The order of admission was divided into average groups, with 54 cases in the control group and the experimental group. The patients in the control group received routine nursing care, and the patients in the experimental group received comprehensive nursing intervention, and the application effect was analyzed.
Results: In this study, the heart rate of patients in the experimental group during and after operation were lower than those in the control group, and the incidence of rebleeding and postoperative pain were also lower in the control group, and the nursing satisfaction of patients in the experimental group was higher than that in the control group, P<0.05.
Conclusion  : Comprehensive nursing intervention for patients with endoscopic treatment of esophagogastric varices bleeding can more effectively relieve the clinical symptoms of patients, reduce the incidence of rebleeding, improve the patients' unhealthy attitude and improve treatment compliance. It has a good promoting effect and also has a significant effect on improving the quality of life of patients.

Key words: Comprehensive Nursing; Endoscopic Treatment; Esophagogastric Varices Bleeding; Nursing Effect

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引用本文

祖纯, 张晓芹, 综合护理在内镜下治疗食管胃底静脉曲张出血中的价值[J]. 当代护理, 2022; 3: (2) : 1-5.