首页|双向质量反馈护理模式在肝硬化合并上消化道出血患者中的应用效果

双向质量反馈护理模式在肝硬化合并上消化道出血患者中的应用效果

Application effect of two-way quality feedback nursing mode in patients with liver cirrhosis complicated with upper gastrointestinal bleeding

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目的 分析双向质量反馈护理模式在肝硬化合并上消化道出血患者中的应用效果.方法 选取2021年1月至2023年12月我院收治的120例肝硬化合并上消化道出血患者为研究对象,随机将其分为常规组和观察组,各60例.常规组实施常规护理,观察组在常规护理基础上实施双向质量反馈护理模式护理.比较两组的干预效果.结果 观察组的大便潜血转阴时间、住院时长短于常规组,肝性脑病、继发性感染、便秘及再次出血发生率低于常规组(P<0.05).干预后,两组的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及匹兹堡睡眠质量指数(PSQI)评分均降低,生活质量核心调查问卷(QLQ-C30)评分均升高,且观察组优于常规组(P<0.05).干预后,两组的疾病诱因、疾病症状、疾病危害及自身治疗方案评分均升高,且观察组高于常规组(P<0.05).观察组的护理满意度高于常规组(P<0.05).结论 双向质量反馈护理模式可缩短肝硬化合并上消化道出血患者的康复进程,降低不良事件发生率,减轻心理负担,改善睡眠障碍,提升生活质量及护理满意度,从而取得理想护理效果.
Objective To analyze the application effect of two-way quality feedback nursing mode in patients with liver cirrhosis complicated with upper gastrointestinal bleeding.Methods From January 2021 to December 2023,120 patients with liver cirrhosis complicated with upper gastrointestinal bleeding admitted in our hospital were selected as the research objects.The patients were randomly divided into routine group and observation group,with 60 cases in each group.The routine group was given routine nursing,and the observation group was given two-way quality feedback nursing mode on the basis of routine nursing.The intervention effects of the two groups were compared.Results The time of fecal occult blood turning negative and the hospitalization time in the observation group were shorter than those in the routine group,and the incidences of hepatic encephalopathy,secondary infection,constipation and rebleeding were lower than those in the routine group(P<0.05).After intervention,the scores of Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and Pittsburgh Sleep Quality Index(PSQI)in the two groups decreased,the score of Quality of Life Questionnaire-Core 30(QLQ-C30)increased,and those in the observation group were better than the routine group(P<0.05).After intervention,the scores of disease inducement,disease symptoms,disease harm and self-treatment plan in the two groups increased,and those in the observation group were higher than the routine group(P<0.05).The satisfaction of nursing in the observation group was higher than that in the routine group(P<0.05).Conclusion The two-way quality feedback nursing mode can shorten the rehabilitation process of patients with liver cirrhosis complicated with upper gastrointestinal bleeding,reduce the incidence of adverse events,alleviate the psychological burden,improve sleep disorders,upgrade the quality of life and nursing satisfaction,so as to achieve the ideal nursing effect.

liver cirrhosisupper gastrointestinal bleedingtwo-way quality feedback nursing mode

沈蔚、史亚非、黄本卿、闫春红

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联勤保障部队第九九○医院,河南驻马店,463000

肝硬化 上消化道出血 双向质量反馈护理模式

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(20)
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