卢小利　卢伶俐　张弦

【摘要】 目的：探讨心理护理在内镜下组织胶注射治疗消化道出血患者中的应用。方法：选择2015年6月-2016年5月本院收治的内镜下组织胶注射治疗消化道出血患者60例作为研究对象，采用随机数字表法将患者分为观察组和对照组，各30例。对照组给予常规护理干预，观察组联合心理护理干预，比较两组患者的应激反应、并发症、满意度等指标。结果：手术后3 d，观察组的血糖、肾上腺素、皮质醇水平均明显低于对照组（P<0.05）；观察组的并发症发生率为10.00%，明显低于对照组的33.33%（P<0.05）；观察组的满意度为96.67%，明显高于对照组的80.00%（P<0.05）。结论：心理护理干预有助于缓解内镜下组织胶注射治疗消化道出血患者的应激反应，减少并发症发生率，提高患者满意度。

【关键词】 心理护理； 内镜下组织胶注射； 消化道出血； 应激反应； 并发症

Application of Psychological Nursing in the Treatment of Patients with Gastrointestinal Bleeding by Endoscopic Tissue Adhesive Injection/LU Xiao-li，LU Ling-li，ZHANG Xian.//Medical Innovation of China，2017，14（15）：079-082

【Abstract】 Objective：To explore the application of psychological nursing in the treatment of patients with gastrointestinal bleeding by endoscopic tissue glue injection.Method：From June 2015 to May 2016，60 patients with gastrointestinal bleeding who treated by endoscopic tissue adhesive injection in our hospital were selected as the research objects，they were divided into the observation group and the control group according to random number table method，30 cases in each group.The control group was given routine nursing intervention，the observation group was given routine nursing combined with psychological nursing intervention.Stress reaction，complications and satisfaction of two groups were compared.Result：Three days after surgery，the blood glucose，epinephrine and cortisol concentration of the observation group were significantly lower than those of the control group（P<0.05）；the incidence of esophageal ulcer and other complications of the observation group was 10.00%，significantly lower than 33.33% of the control group（P<0.05）；the satisfaction of the observation group was 96.67%，significantly higher than 80.00% of the control group（P<0.05）.Conclusion：Psychological nursing intervention is helpful to reduce the stress response of patients with gastrointestinal bleeding，reduce the incidence of complications and improve patient satisfaction.

【Key words】 Psychological nursing； Endoscopic tissue injection； Gastrointestinal bleeding； Stress response； Complication

First-authors address：The Peoples Hospital in Guangming New District of Shenzhen City，Shenzhen 518106，China

doi：10.3969/j.issn.1674-4985.2017.15.023

消化道大出血是消化內科常见的急危重症，起病突然[1]，其中又以食道、胃底静脉曲张破裂来势更为凶猛，患者如未得到及时处理，很快进展为失血性休克，从而危及生命[2]。内镜下注射组织胶治疗消化道大出血止血率高[3-4]，不仅能迅速控制急性期的活动性出血，还可使曲张的静脉消失，降低再次出血的风险[5]。护理干预对于减轻内镜下组织胶注射治疗消化道出血患者的痛苦、顺利完成手术、降低术后并发症的应用价值已被国内外学者所共识，但较少从应激反应展开比较研究[6]。本文采取随机对照研究的方法，探讨心理护理干预对内镜下组织胶注射治疗消化道出血患者应激反应及并发症的影响。现报道如下。

1 资料与方法

1.1 一般资料 选择2015年6月-2016年5月本院收治的内镜下组织胶注射治疗消化道出血患者

60例作为研究对象，采用随机数字表法将患者分为观察组和对照组，各30例。……