中西医结合护理干预肝硬化继发上消化道出血临床研究
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R657.3+1

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Clinical Study on Integrated Chinese and Western Medicine Nursing on Upper Gastro⁃ intestinal Bleeding Secondary to Cirrhosis
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    摘要:

    目的:观察中西医结合护理干预肝硬化继发上消化道出血的效果。方法:选取128 例肝硬化继发上消化道出血患者,按随机数字表法分成对照组和观察组各64 例。对照组采用常规护理,观察组采用中西医结合护理,包括情志护理、穴位护理、针灸护理、出血护理。对比2 组护理前后抑郁自评量表(SDS)、焦虑自评量表(SAS)、健康调查简表(SF-36) 评分。结果:护理后,2 组SDS、SAS 评分均较护理前降低,观察组SDS、SAS 评分均明显低于对照组(P<0.05);2 组SF-36 各项评分均较护理前升高,观察组躯体疼痛、精神健康、生理功能、生理职能、社会功能、情感职能、一般健康状况、精力评分均高于对照组(P<0.05)。结论:中西医结合护理干预肝硬化继发上消化道出血患者,能有效改善其不良情绪,提高生活质量。

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    Abstract:Objective:To observe the effect of integrated Chinese and western medicine nursing on upper gastrointestinal bleeding secondary to cirrhosis. Methods:A total of 128 cases of patients with upper gastrointestinal bleeding secondary to cirrhosis were divided into the control group and the observation group according to the random number table method,64 cases in each group. The control group was given routine nursing,and the observation group was given integrated Chinese and western medicine nursing including emotional nursing, point massage, acupuncture and moxibustion as well as bleeding care. Before and after nursing,the scores of Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS) and 36-Item Short Form Health Survey(SF-36) in the two groups were compared. Results:After nursing,the scores of SDS and SAS in the two groups were decreased,and the scores in the observation group were significantly lower than those in the control group(P<0.05); the SF- 36 scores in the two groups were increased; the indexes of body pain, mental health, physiological function, physiological role, social function, emotional role, general health and energy in the observation group were higher than those in the control group(P<0.05). Conclusion:Integrated Chinese and western medicine nursing intervening upper gastrointestinal bleeding secondary to cirrhosis can effectively improve bad emotions and quality of life and relieve inflammatory responses.

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周丹艳,杨金凯,沈方红.中西医结合护理干预肝硬化继发上消化道出血临床研究[J].新中医,2020,52(15):170-172

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  • 在线发布日期: 2020-08-08
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