Application effects of problem-oriented gradient nursing in patients with alcohol withdrawal syndrome
Objective:To observe application effects of problem-based gradient nursing in patients with alcohol withdrawal syndrome.Methods:A prospective study was conducted on 75 patients with alcohol withdrawal syndrome who were treated in the hospital from March 2019 to February 2021.According to the dice-throwing method,they were divided into observation group(n=38)and control group(n=37).The control group was given routine nursing,while the observation group was given the problem-oriented gradient nursing on the basis of that of the control group.The scores of drinking craving degree[Pennsylvania alcohol craving scale(PACS)],negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and self-control ability[self-control scale(SCS)]before and after the nursing,and the incidence of tremor,delirium and convulsion were compared between the two groups.Results:After the nursing,the PACS scores such as frequency,intensity,duration of drinking,ability to resist drinking,and average craving degree 1 week after stopping drinking in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the SAS and SDS scores of the observation group were lower than those of the control group,the SCS score was higher than that of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of tremor,delirium and convulsion in the observation group was 34.58%(12/38),which was lower than 56.76%(21/37)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the problem-oriented gradient nursing can improve the self-control ability scores of the patients with alcohol withdrawal syndrome,reduce the drinking craving scores and the negative emotion scores as well as the incidence of tremor,delirium and convulsion.Moreover,it is superior to single routine nursing.