周芹

[摘要] 目的 探讨肝硬化合并上消化道出血患者实施系统性整体护理的应用效果。 方法 以我院接收的82例肝硬化合并上消化道出血患者为研究对象，随机分为观察组和对照组，两组患者分别采用不同的护理措施并进行对比。 结果 观察组患者对护理工作满意度明显优于对照组；观察组患者的再出血次数和出血量明显低于对照组；对患者进行护理后，观察组患者的护理依从性评分明显高于对照组；同时，观察组患者的并发症发生率明显低于对照组，差异有统计学意义（P<0.05）。 结论 实施系统性整体护理干预具有较高的临床应用价值。

[关键词] 肝硬化；上消化道出血；系统性整体护理

[中图分类号] R575.2 [文献标识码] B [文章编号] 1673-9701（2017）12-0147-03

[Abstract] Objective To investigate the application effect of systemic holistic nursing in the patients with liver cirrhosis complicated with upper gastrointestinal hemorrhage. Methods 82 patients with liver cirrhosis complicated with upper gastrointestinal bleeding who were admitted to our hospital were selected as the research subjects and randomly divided into the observation group and the control group. Different nursing care measures were adopted in the two groups and were compared. Results The satisfaction rate of the nursing works in the observation group was significantly better than that in the control group； the number of rebleeding and the amount of bleeding in the observation group were significantly lower than those in the control group； after the nursing， the nursing compliance score in the observation group was significantly higher than that in the control group； and the incidence rate of complications in the observation group was significantly lower than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion The implementation of systemic holistic nursing intervention has a higher clinical application value.

[Key words] Liver cirrhosis；Upper gastrointestinal hemorrhage；Systemic holistic nursing

肝硬化会引发多种并发症，其中最为常见的就是上消化道出血，其诱因主要是因为肝硬化晚期会引发门静脉高压，进而造成消化系统和脾脏的回心血液流动在通过肝脏的时候受到阻力，进而导致腹壁静脉曲张和食管胃底部的静脉曲张，极易引发破裂出血[1]。肝硬化合并上消化道病情危重，发病突然，死亡率相对较高，所以，一定要对患者采取及时、有效的治疗及相对应的护理干预，使患者的生命安全得到保障[2]。

1 资料与方法

1.1 一般资料

选取2015年10月～2016年10月在我院接收的肝硬化合并上消化道出血患者共82例，随机分为两组，每组各41例。其中，观察组男28例，女13例。年龄28～66岁，平均（48.5±2.3）岁；对照组男29例，女12例。年龄30～69岁，平均（49.8±3.4）岁。82例患者均符合肝硬化和上消化道出血的临床诊断标准[3]，且自愿参与本次实验研究及签署知情同意书。……