肝硬化合并消化道出血患者应用临床护理路径的可行性研究

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英文篇名：Feasibility study of clinical nursing pathway in patients with cirrhosis complicated with gastrointestinal hemorrhage 作者：周玲 英文作者：ZHOU Ling;Department of Nursing,Chongqing Zhongxian People's Hospital; 关键词：肝硬化 ; 消化道出血 ; 临床护理路径 英文关键词：Cirrhosis;;Gastrointestinal hemorrhage;;Clinical nursing pathway 中文刊名：ZSSA 英文刊名：China Practical Medicine 机构：重庆市忠县人民医院护理部; 出版日期：2019-03-28 出版单位：中国实用医药 年：2019 期：v.14 语种：中文; 页：ZSSA201909091 页数：2 CN：09 ISSN：11-5547/R 分类号：155-156

摘要

目的对肝硬化合并消化道出血患者应用临床护理路径的可行性进行研究分析。方法 120例肝硬化合并消化道出血患者,均采取临床护理路径方案,观察患者的临床效果,比较患者护理前后健康知识合格率以及生活习惯情况。结果治疗后, 120例患者中115例患者止血效果良好, 3例患者放弃治疗, 2例患者因器官衰竭而亡。护理后,患者健康知识合格率为95.65%,高于护理前的19.13%,差异具有统计学意义(P<0.05)。护理后,患者健康饮食、戒烟戒酒、适度锻炼、规律作息情况优于护理前,差异具有统计学意义(P<0.05)。结论对肝硬化合并消化道出血患者实施临床护理路径,能够有效提高护理效果,优化止血效果,增强患者健康意识,改善患者生活质量。
        Objective To study and analyze the feasibility of clinical nursing pathway in patients with cirrhosis complicated with gastrointestinal hemorrhage. Methods A total of 120 patients with cirrhosis complicated with gastrointestinal hemorrhage all received clinical nursing pathway. The clinical effect of patients was observed, and qualified rate of health knowledge and living habits of patients before and after nursing was compared. Results After treatment, 115 patients had good hemostasis effect, 3 patients gave up treatment and 2 patients died of organ failure in 120 patients. After nursing, patients had higher qualified rate of health knowledge as 95.65% than 19.13% before nursing, and the difference was statistically significant(P<0.05). After nursing, patients had better healthy eating, smoking cessation and alcohol withdrawal, moderate exercise, regular work and rest than those before nursing, and the difference was statistically significant(P<0.05). Conclusion The clinical nursing pathway for patients with cirrhosis and gastrointestinal hemorrhage can effectively improve the nursing effect, optimize the hemostasis effect, enhance patients' health awareness and improve patients' quality of life.

引文

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