嚴健芬 師瑞月 劉婷婷 聶莎 譚慶紅

[摘要] 目的 研究針對性護理在肝硬化合并上消化道出血患者中的效果。方法 方便選取2017年1月—2018年2月該院收治的60例肝硬化合并上消化道出血患者作為研究對象，通過隨機分組的方式分為對照組和實驗組，每組30例，對對照組患者采取常規(guī)護理，實驗組患者在此基礎上配合針對性護理，對比兩組患者的護理效果以及患者的治療依從性。結(jié)果 實驗組患者的護理有效率為86.7%，明顯優(yōu)于對照組患者，差異有統(tǒng)計學意義（χ2=4.40，P=0.04），并且患者的治療依從率為93.3%，明顯高于對照組患者，差異有統(tǒng)計學意義（χ2=4.30，P=0.04）。結(jié)論 針對性護理，可以更加有效的提高肝硬化合并消化道出血的患者的護理效果，提高患者的治療依從性，有效的幫助患者改善的綜合狀態(tài)，提高患者的生活質(zhì)量和生活自理能力，改善患者的心理狀態(tài)。

[關鍵詞] 針對性護理;肝硬化合并上消化道出血;護理效果

[中圖分類號] R473.5? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742（2018）09（a）-0159-03

Effectiveness of Targeted Nursing in Patients with Liver Cirrhosis Complicated with Upper Gastrointestinal Bleeding

YAN Jian-fen， SHI Rui-yue， LIU Ting-ting， NIE Sha， TAN Qing-hong

Department of Gastroenterology， Shenzhen People's Hospital， Shenzhen， Guangdong Province， 518002 China

[Abstract] Objective To study the effect of targeted nursing in patients with cirrhosis and upper gastrointestinal bleeding. Methods A total of 60 patients with cirrhosis complicated with upper gastrointestinal hemorrhage who were admitted to the hospital from January 2017 to February 2018 were convenient selected as the study subjects. They were randomly divided into control group and experimental group， 30 cases in each group. Patients in the control group were given routine care. The patients in the experimental group were on this basis with targeted care， and the care effects of the two groups of patients were compared with the treatment compliance of the patients. Results The effective rate of the patients in the experimental group was 86.7%， which was significantly better than that in the control group，the difference was statistically sigmficant，（χ2=4.40， P=0.04）， and the patient compliance rate was 93.3%， which was significantly higher than that of the control group，the difference was statistically sigmficant（χ2=4.30， P=0.04）. Conclusion Targeted nursing can effectively improve the nursing effect of patients with cirrhosis complicated with gastrointestinal hemorrhage， improve the patient's compliance with treatment， effectively help patients improve their comprehensive status， improve patients' quality of life and self-care ability， improve patients' state of mind.

[Key words] Targeted nursing; Cirrhosis with upper gastrointestinal bleeding; Nursing effect

肝硬化是一種常見的慢性肝病，是由于多種致病菌長期反復損害而導致的一種肝臟細胞纖維化疾病，如果不及時進行處理，很容易引發(fā)出血，從而導致患者休克，肝硬化通常與病毒感染、慢性酒精中毒等因素有關，對患者的生命安全問題有嚴重的影響[1]，并且會給患者的家庭帶來一定的負擔，肝硬化合并上消化道出血的病情一旦發(fā)病，病情進展很快，預后較差，如果不進行及時的進行治療，便會產(chǎn)生嚴重的影響[2]，所以為了幫助患者可以更好的恢復身體健康，該文方便選取2017年1月—2018年2月該院收治的60例肝硬化合并上消化道出血患者作為研究對象，然后研究針對性護理在肝硬化合并上消化道出血患者中的效果，主要內(nèi)容如下所示。