摘要
目的探析康复护理干预对急性上消化道出血患者的作用.方法以2019年7月—2020年8月在该院治疗的90例急性上消化道出血患者为研究对象,按照随机抽签法分为对照组与观察组,每组45例.对照组采用常规护理,观察组采用康复护理,比较两组患者的住院时间、护理满意度及护理前后的凝血功能、生活质量.结果观察组护理后凝血酶时间、凝血酶原时间、活化部分凝血活酶时间分别为(12.52±0.87)s、(9.22±0.38)s、(22.27±1.33)s,均明显短于对照组,纤维蛋白原水平为(2.06±0.25)g/L,明显低于对照组,组间差异有统计学意义(P<0.05).观察组护理后的躯体功能、情感功能、认知功能、角色功能、社会功能评分分别为(80.25±4.67)分、(80.02±4.54)分、(80.36±4.51)分、(77.68±4.72)分、(75.62±4.63)分,均明显高于对照组,组间差异有统计学意义(P<0.05).观察组的护理满意度为95.56%,明显高于对照组,差异有统计学意义(P<0.05).观察组的住院时间为(8.21±1.34)d,明显短于对照组,差异有统计学意义(P<0.05).结论康复护理对急性上消化道出血患者的作用十分显著,有助于改善其凝血功能,提高患者生活质量及护理满意度,缩短住院时间,值得临床推荐应用.
Objective To explore the effect of rehabilitation nursing intervention on patients with acute upper gastrointestinal hemorrhage.Methods A total of 90 patients with acute upper gastrointestinal hemorrhage treated in this hospital from July 2019 to August 2020 were selected as the research objects,and divided into a control group and an observation group according to random drawing method,with 45 cases in each group.Routine nursing was used in the control group,and rehabilitation nursing was used in the observation group.The length of stay,nursing satisfaction,coagulation function and quality of life before and after nursing were compared between the two groups.Results The thrombin time,prothrombin time and activated partial thrombin time in the observation group after nursing were(12.52±0.87)s,(9.22±0.38)s and(22.27±1.33)s,respectively,which were significantly shorter than those in the control group,the fibrinogen level was(2.06±0.25)g/L,which was significantly lower than that in the control group,the differences between groups were statistically significant(P<0.05).The scores of physical function,emotional function,cognitive function,role function and social function in the observation group were(80.25±4.67)points,(80.02±4.54)points,(80.36±4.51)points,(77.68±4.72)points and(75.62±4.63)points,respectively,which were significantly higher than those in the control group,the differences between groups were statistically significant(P<0.05).The nursing satisfaction of the observation group was 95.56%,which was significantly higher than that of the control group,the difference was statistically significant(P<0.05).The length of hospitalization in the observation group was(8.21±1.34)d,which was significantly shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation nursing has a significant effect on patients with acute upper gastrointestinal hemorrhage,which is helpful to improve their coagulation function,improve the quality of life and nursing satisfaction,and shorten the length of hospital stay.It is worthy of clinical recommendation.
作者
张婷婷
ZHANG Tingting(Department of Gastroenterology,Zaozhuang Hospital of Zaozhuang Mining Group,Zaozhuang Shandong,277000,China)
出处
《反射疗法与康复医学》
2021年第17期121-124,共4页
Reflexology And Rehabilitation Medicine
关键词
急性上消化道出血
康复护理
凝血功能
生活质量
护理满意度
Acute upper gastrointestinal hemorrhage
Rehabilitation nursing
Coagulation function
Quality of life
Nursing satisfaction
作者简介
张婷婷(1988-),女,山东枣庄人,本科,主管护师,研究方向:消化内科护理。
