Individualized diet nursing intervention for patients with cirrhosis and gastrointestinal hemorrhage
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摘要: 目的 探讨肝硬化合并消化道出血患者采取个体化饮食护理干预的效果。 方法 选取肝硬化合并消化道出血患者90例,随机分为观察组和对照组各45例。对照组给予常规护理干预,观察组给予个体化饮食护理干预。比较2组患者的住院时间、依从性、再出血情况、生活质量评分及满意度评分情况,比较2组患者治疗前后汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分变化情况。 结果 观察组住院时间显著短于对照组,依从性显著高于对照组(P<0.05)。观察组再出血次数、出血量均显著少于对照组(P<0.05)。观察组护理后HAMD评分、HAMA评分均显著低于对照组(P<0.05)。观察组患者社会功能、躯体功能、心理功能、物质生活状态评分均显著高于对照组(P<0.05)。观察组患者护理后操作、态度、宣教以及治疗效果满意度评分均显著高于对照组(P<0.05)。 结论 对肝硬化合并消化道出血患者实施个体化饮食护理干预,可缩短住院时间,降低再出血率,提高患者生活质量及护理满意度。Abstract: Objective To explore the effect of individualized diet nursing intervention on rebleeding of patients with cirrhosis and gastrointestinal bleeding. Methods Totally 90 patients with cirrhosis and gastrointestinal bleeding were selected and randomly divided into observation group and control group, with 45 cases in each group. The control group was given routine nursing intervention, and the observation group was given individualized diet nursing intervention. The hospitalization time, compliance, rebleeding condition, score of quality of life and satisfaction degree, the scores of Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)before and after treatment were compared between two groups. Results The hospitalization time of the observation group was significantly shorter than that of the control group, and the compliance was significantly better than that of the control group(P<0.05). The number of rebleeding and the amount of bleeding in the observation group were significantly less than those in the control group(P<0.05). The HAMD and HAMA scores after nursing in the observation group were significantly lower than those in the control group(P<0.05). The scores of social function, physical function, psychological function and material life status in the observation group were significantly higher than those in the control group(P<0.05). The scores of manipulation, attitude, education and satisfaction degree to therapeutic effect after nursing in the observation group were significantly higher than those in the control group(P<0.05). Conclusion Implementation of individualized diet nursing intervention for patients with cirrhosis and gastrointestinal hemorrhage can shorten the hospitalization time, reduce the rebleeding rate, improve the quality of life and increase the nursing satisfaction degree.
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