摘要目的 研究细节护理对急性上消化道出血胃镜手术患者生活质量及并发症的影响。方法 选取2018年1月～2020年1月江西省抚州市第一人民医院收治的80 例急性上消化道出血胃镜手术患者，按照随机数字表法分为对照组与观察组，每组各40 例。全部患者均接受胃镜手术治疗，对照组接受常规心理护理，观察组接受细节护理。比较两组护理干预前、护理干预5 d 后的生活质量、焦虑抑郁情况及并发症发生情况。结果 护理干预5 d 后，两组的躯体功能、躯体角色、社会功能、心理健康评分高于护理干预前，且观察组的躯体功能、躯体角色、社会功能、心理健康评分高于对照组，差异均有统计学意义（P＜0.05）；护理干预5 d 后，两组的焦虑、抑郁评分低于护理干预前，且观察组的焦虑、抑郁评分低于对照组，差异均有统计学意义（P＜0.05）；两组的并发症总发生率比较，差异无统计学意义（P＞0.05）。结论 细节护理能促进患者术后生活质量提升，改善患者焦虑抑郁心理，值得临床推广使用。
Abstract：Objective To study the effect of detailed nursing on quality of life and complications in acute upper gastrointestinal hemorrhage patients with gastroscopic operation.Methods A total of 80 acute upper gastrointestinal hemorrhage patients with gastroscopic operation who were treated in Fuzhou First People′s Hospital,Jiangxi Province from January 2018 to January 2020 were selected and divided into the control group and the observation group according to random number table method,40 cases in each group.All patients underwent gastroscopic operation,the control group received routine nursing during treatment,and the observation group was given detailed nursing.The quality of life,anxiety,depression and complications of the two groups before nursing and intervention and after 5 days of nursing and intervention were compared.Results The scores of physical function,physical role,social function and mental health in the two groups were higher than those before nursing and intervention,and the scores of physical function,physical role,social function and mental health of the observation group were higher than those of the control group,the differences were statistically significant(P＜0.05).After 5 days of nursing and intervention,the self-rating anxiety,self-rating depression scale scores of both groups were lower than those before nursing and intervention,and the self-rating anxiety,self-rating depression scale scores of the observation group were lower than those of the control group,the differences were statistically significant(P＜0.05).Compared the total incidence of complications between the two groups,the difference was not statistically significant(P＞0.05).Conclusion Detailed nursing can promote the improvement of patients′quality of life after surgery,improve patients′anxiety and depression,and is worthy of popularization and use.
陈蓓;饶丹霞;李佩佩. 细节护理对急性上消化道出血胃镜手术患者生活质量及并发症的影响[J]. 中国当代医药, 2021, 28(13): 242-244-248.
CHEN Bei;RAO Dan-xia;LI Pei-pei. Effect of detailed nursing on quality of life and complications in acute upper gastrointestinal hemorrhage patients with gastroscopic operation. 中国当代医药, 2021, 28(13): 242-244-248.
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