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改良急诊护理流程在肝癌合并上消化道大出血患者中的应用

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目的 探讨改良急诊护理流程在肝癌合并上消化道大出血患者中的应用效果.方法 根据干预方式的不同将100例肝癌合并上消化道大出血患者分为观察组(49例)和对照组(51例),对照组患者采用常规干预,观察组患者在对照组的基础上采用改良急诊护理流程干预.比较两组患者的治疗相关指标、生活质量[世界卫生组织生存质量测定量表(WHOQOL-100)]、并发症发生情况及满意度.结果 观察组患者接诊时间、确诊至专科治疗时间、建立静脉通道时间、止血时间及住院时间均短于对照组,并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05).干预后,两组患者WHOQOL-100各维度评分均高于本组干预前,观察组患者WHOQOL-100各维度评分均高于对照组,差异均有统计学意义(P﹤0.05).结论 改良急诊护理流程可有效提高肝癌合并上消化道大出血患者的急救效率,减少并发症,提高生活质量和满意度.
Application of improved emergency nursing procedure in patients with liver cancer complicated with massive upper gastrointestinal bleeding
Objective To investigate the application effect of improved emergency nursing procedure in patients with liver cancer complicated with massive upper gastrointestinal bleeding.Method A total of 100 patients with liver cancer complicated with massive upper gastrointestinal bleeding were divided into observation group(49 cases)and control group(51 cases)according to different intervention methods.The control group received routine intervention,and the ob-servation group received improved emergency nursing procedure intervention on the basis of the control group.The treat-ment related indexes,quality of life[World Health Organization quality of life-100(WHOQOL-100)],incidence of com-plications and satisfaction were compared between the two groups.Result The reception time,the time from diagnosis to specialist treatment,establishing venous access time,hemostasis time and hospitalization time in the observation group were shorter than those in the control group,the total incidence of complications was lower than that in the control group,the total satisfaction rate was higher than that in the control group,and the differences were statistically significant(P<0.05).After intervention,the dimensional scores of WHOQOL-100 in two groups were higher than those before interven-tion,the dimensional scores of WHOQOL-100 in observation group were higher than those in control group,and the dif-ferences were statistically significant(P<0.05).Conclusion The improved emergency nursing procedure can effectively enhance the efficiency of emergency treatment for patients with liver cancer complicated with massive upper gastrointesti-nal bleeding,reduce complications,improve the quality of life and satisfaction.

liver cancermassive upper gastrointestinal bleedingimproved emergency nursing procedure

张娟、陈燕、杨欣欣、豆路行、史晓莹

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郑州大学第一附属医院急诊科,郑州 475000

肝癌 上消化道大出血 改良急诊护理流程

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(22)