摘要
目的:分析 ICU 重症患者并发上消化道出血中护理干预的效果。方法:选取我院近 3 年(2019
年 4 月-2022 年 4 月)收治的 37 例 ICU 重症患者,均为并发上消化道出血,回顾临床资料。将实施护理干
预的 19 例患者作为观察组,将实施常规护理的 18 例患者作为对照组。观察两组护理效果。结果:干预后,
观察组护理总有效率明显更高,与对照组相比差异有统计学意义(P<0.05);随访中,观察组患者满意度
更高,与对照组相比差异有统计学意义(P<0.05);观察组患者生存质量评分较高,与对照组相比差异有
统计学意义(P<0.05)。结论:通过对 ICU 重症并发上消化道出血患者实施护理干预,可有效控制消化道
出血,对进一步提高临床护理疗效和生存质量,促进患者康复有积极意义,临床应用价值确切。
关键词: ICU 重症;并发上消化道出血;护理干预;满意度;生存质量;效果
Abstract
Objective: to analyze the effect of nursing intervention in ICU severe patients complicated with
upper gastrointestinal bleeding. Methods: 37 ICU patients with severe upper gastrointestinal bleeding in recent 3
years (April 2019 April 2022) were selected, and the clinical data were reviewed. 19 patients with nursing
intervention were taken as the observation group, and 18 patients with routine nursing were taken as the control
group. The nursing effects of the two groups were observed. Results: after the intervention, the total effective rate
of nursing in the observation group was significantly higher than that in the control group (p<0.05); During the
follow-up, the patients' satisfaction in the observation group was higher than that in the control group (p<0.05); The
score of quality of life in the observation group was higher than that in the control group (p<0.05). Conclusion :
nursing intervention for ICU patients with severe upper gastrointestinal bleeding can effectively control
gastrointestinal bleeding, which has positive significance in further improving clinical nursing efficacy and quality
of life, and promoting patients' rehabilitation, and has definite clinical application value.
Key words: ICU severe; Complicated with upper gastrointestinal bleeding; Nursing intervention;Satisfaction; Quality of life; effect
参考文献 References
[1] 徐欢欢, 王芳, 金小瑞. 优质护理在 ICU 危重症并发上消化道出血患者中的应用效果研究[J]. 现代医药卫生,2020, 36(5):761-763.
[2] 陈帝贤, 侯玉玲, 方化静. ICU 危重症并发上消化道出血患者中循证护理的实施价值[J]. 中国医药科学, 2020,10(9):139-141+185.
[3] 杨美霞. 重症监护护理在上消化道出血患者护理中的应用价值[J]. 河南医学研究, 2021, 30(4):757-759.
[4] 王静, 史秀凤, 孙秀娥,等. 重型颅脑损伤患者早期肠理的应用与效果[J]. 中国临床研究,2020,33(7):1003-1005.
[5] 柳欣瑶, 刘凤彩, 靳蕾. 上消化道出血患者 50 例的内科护理体会[J]. 世界最新医学信息文摘(电子版), 2020,20(21):232,236.
[6] 隋莲平. 优质护理用于 ICU 危重症并发上消化道出血的效果观察[J]. 糖尿病天地, 2020,17(3):233.
[7] 王晓晶 重症监护病房患者肠内营养相关性腹泻的原因及护理 . 中国保健营养, 2020 ,30 (21) :186
[8] 樊小丽 颅内动脉瘤术后个案护理分析 . 养生保健指南, 2018 (21) :124
[9] 玄永哲,金明根 兰索拉唑奥曲肽凝血酶三联治疗 ICU重症并发上消化道出血疗效及安全性研究 . 中国社区医师, 2018 ,34 (29) :47-48
[10] 蒋公安 ICU 重症并发上消化道出血行兰索拉唑奥曲肽凝血酶三联治疗的效果探究 . 系统医学, 2018 ,3(10) :54-56
[11] 王思涵 兰索拉唑奥曲肽凝血酶三联治疗 ICU 重症并发上 消化 道出 血的 疗效 分析 . 养 生保 健指 南, 2019(43) :228