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中医护理干预对促进急性上消化道出血患者康复的影响 被引量:12

Clinical Observation on Effect of Nursing Intervention of Chinese Medicine on Rehabilitation in Patients with Acute Upper Gastrointestinal Hemorrhage
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摘要 目的:观察急性上消化道出血患者采用中医护理干预的康复效果。方法:将86例急性上消化道出血患者分为对照组与观察组各43例。对照组给予常规护理干预,如指导患者卧床休息,严密观察其病情,积极给予吸氧和保暖等干预。观察组于对照组基础上给予中医护理干预,如情志护理、辨证施护等。评价2组临床疗效,记录2组疾病恢复时间和并发症,调查2组患者满意度。结果:观察组总有效率为93.02%,高于对照组76.74%,差异有统计学意义(P <0.05)。观察组疾病恢复时间平均为(14.87±1.59)天,短于对照组(21.74±1.77)天,2组比较,差异有统计学意义(t=18.934,P=0.000)。观察组并发症发生率4.65%,低于对照组18.60%,2组比较,差异有统计学意义(χ~2=4.073,P=0.043)。对照组满意度为88.87%,观察组为97.67%,观察组患者满意度高于对照组(P <0.05)。结论:中医护理干预有助于提高急性上消化道出血患者临床治疗效果,减少并发症的发生,促进康复。 Objective:To observe the rehabilitation effect of nursing intervention of Chinese medicine on patients with acute upper gastrointestinal hemorrhage.Methods:A total of 86 cases of patients with acute upper gastrointestinal hemorrhage were divided into the control group and the observation group,43 cases in each group.The control group was given routine nursing intervention such as guiding patients to rest in bed,closely observing their condition and actively offering oxygen inhalation as well as warmth retention.The observation group was additionally given nursing intervention of Chinese medicine including emotional nursing and nursing based on syndrome differentiation based on the treatment of the control group.The clinical effect in the two groups was evaluated;the recovery time and complications in the two groups were recorded;the patient satisfaction in the two groups was investigated.Results:The total effective rate was 93.02%in the observation group,higher than that of 76.74%in the control group,the difference being significant(P<0.05).The average recovery time was(14.87±1.59)days in the observation group,shorter than that of(21.74±1.77)days in the control group,the difference being significant(t=18.934,P=0.000).The incidence of complications was 4.65%in the observation group,lower than that of 18.60%in the control group,the difference being significant(χ~2=4.073,P=0.043).The satisfaction rate was 97.67%in the observation group,higher than that of 88.87%in the control group(P<0.05).Conclusion:Nursing intervention of Chinese medicine can improve the clinical effect in patients with acute upper gastrointestinal hemorrhage,reduce the incidence of complications and promote their rehabilitation.
作者 俞娣 冯霞 钟琴娟 YU Di;FENG Xia;ZHONG Qinjuan
出处 《新中医》 CAS 2019年第8期275-277,共3页 New Chinese Medicine
关键词 急性上消化道出血 中医护理 辨证施护 情志护理 Acute upper gastrointestinal hemorrhage Chinese medicine nursing Nursing based on syndrome differentiation Emotional nursing
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