Analysis of clinical application effect of evidence-based nursing in patients with upper gastrointestinal hemorrhage complicated with cirrhosis
上消化道出血合并肝硬化患者实施循证护理的临床应用效果分析

摘要

目的 研究分析在上消化道出血合并肝硬化患者中实施循证护理的临床应用效果。方法 本次研究选取我院接受治疗的上消化道出血合并肝硬化患者作为研究对象，研究共纳入的样本量为64例，上述患者均是在2021年5月-2022年5月期间收治入院，将患者以随机抽签法进行组别划分，分为样本量相同的两组，即观察组32例（实施循证护理），对照组32例（实施常规护理）。结果 两组的止血成功率、再出血发生率进行对比分析均有差异，前一项指标观察组更高，后一项指标对照组更高，差异较大（P＜0.05）；并且在经过护理干预后，两组患者的焦虑、抑郁情绪得到有效缓解，SAS评分和SDS评分均是观察组低于对照组，并发症发生率观察组更低，差异较大（P＜0.05）。结论 循证护理应用于上消化道出血合并肝硬化患者中具有较高的应用价值，在减轻患者负面情绪的同时，能够提高止血成功率，降低再出血和并发症的发生风险。

Abstract

Objective To study and analyze the clinical application effect of evidence-based nursing in patients with upper gastrointestinal bleeding and cirrhosis.
Methods the patients with upper digestive tract hemorr- hage and cirrhosis who were treated in our hospital were selected as the research objects in this study. The sample size included in the study was 64 cases. The above patients were all hospitalized from May 2021 to may 2022. The patients were divided into two groups by random lot, namely, the observation group (32 cases) and the control group (32 cases) with the same sample size.
Results there were significant differences in the success rate of hemo- stasis and the incidence of rebleeding between the two groups. The former index was higher in the observation group and the latter index was higher in the control group (P<0.05); After the nursing intervention, the anxiety and depression of the two groups of patients were effectively relieved. The SAS score and SDS score of the observation group were lower than that of the control group, and the complication rate of the observation group was lower, with a significant difference (P<0.05).
Conclusion  : the application of evidence-based nursing in patients with upper gastrointestinal bleeding and cirrhosis has high application value. It can improve the success rate of hemostasis and reduce the risk of rebleeding and complications while reducing the negative emotions of patients.