Clinical nursing for patients with acute gastroduodenal perforation treated by endoscopic titanium clip block therapy
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摘要:目的 探讨内镜下钛夹封闭治疗胃十二指肠急性穿孔的临床护理。方法 将86例胃十二指肠急性穿孔行内镜下钛夹封闭治疗患者随机分为常规护理组与整体化护理组。比较2组满意度、内镜下钛夹封闭治疗操作时间、生命体征稳定时间、住院时间、护理前后心率、焦虑自评量表(SAS)评分、一次封闭治疗成功率。结果 整体化护理组的满意度显著高于常规护理组(P < 0.05)。护理后，整体化护理组心率、SAS评分显著低于常规护理组(P < 0.05)。整体化护理组内镜下钛夹封闭治疗操作时间、生命体征稳定时间、住院时间显著短于常规护理组(P < 0.05)。整体化护理组一次封闭治疗成功率显著高于常规护理组(P < 0.05)。结论 胃十二指肠急性穿孔患者实施整体化护理的效果确切，可缩短治疗的时间，维持患者生命体征稳定，提高一次治疗成功率，减轻患者心理障碍，缩短住院的时间。Abstract:Objective To explore the clinical nursing for patients with acute gastroduodenal perforation treated by endoscopic titanium clip block therapy.Methods Eighty-six patients with acute gastroduodenal perforation treated by endoscopic titanium clip block therapy were randomly divided into routine nursing group and holistic nursing. Satisfaction degree, time of endoscopic titanium clip closure therapy, stability time of vital signs, hospital stay, heart rate before and after nursing, Self-rating Anxiety Scale (SAS) score and success rate of one-time closure therapy were compared between the two groups.Results The satisfaction degree of holistic nursing group was significantly higher than that of routine nursing group (P < 0.05). After nursing, heart rate and SAS score of holistic nursing group were significantly lower than those of routine nursing group (P < 0.05). The time of endoscopic titanium clip closure therapy, stability time of vital signs and hospital stay of the holistic nursing group were significantly shorter than those of the routine nursing group (P < 0.05). The success rate of one-time closure therapy in holistic nursing group was significantly higher than that in routine nursing group (P < 0.05).Conclusion The holistic nursing is effective in treating patients with acute gastroduodenal perforation, which can shorten the therapeutic time, maintain the stability of vital signs, increase the success rate of one-time therapy, alleviate the psychological disorders of patients and shorten the hospital stay.
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表 1 2组护理前后心率、SAS评分比较(x±s)
组别 n 时点 心率/(次/min) SAS评分/分 整体化护理组 43 护理前 102.40±10.68 68.71±7.21 护理后 76.74±3.79* 21.56±2.16* 常规护理组 43 护理前 102.21±10.23 68.68±7.42 护理后 86.74±3.79 40.67±4.45 与常规护理组比较, *P < 0.05。 
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表 2 2组内镜下钛夹封闭治疗操作时间、生命体征稳定时间、住院时间比较(x±s)
组别 n 操作时间/min 生命体征稳定时间/d 住院时间/d 常规护理组 43 62.41±6.57 2.21±1.12 8.41±1.52 整体化护理组 43 56.56±3.61* 1.24±0.21* 5.89±0.21* 与常规护理组比较, *P < 0.05。
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