摘要
目的:分析循证导向预见性护理干预在肝癌破裂出血急诊中的应用效果及对患者心理状况的影响。方法:选取九江市第三人民医院急诊科2022年1-3月收治的肝细胞肝癌(hepatocellular carcinoma,HCC)破裂出血患者60例,按照入院时间,分成观察组和对照组,各30例。对照组采用常规急救护理干预,观察组采用循证导向预见性护理干预。比较两组护理前后的血红蛋白、氧分压、血氧饱和度,苏醒状态下的心理状态评估量表(MSSNS)评分,休克纠正时间及住院时间,住院期间死亡率及并发症发生率。结果:护理前两组血红蛋白、氧分压、血氧饱和度比较,差异均无统计学意义(P>0.05),护理后观察组血红蛋白、氧分压、血氧饱和度均高于对照组(P<0.05);护理后观察组焦虑、抑郁、愤怒、孤独程度、总体心理状况评分均低于对照组(P<0.05);观察组休克纠正时间、住院时间均短于对照组(P<0.05);两组住院期间死亡率比较,差异无统计学意义(P>0.05),观察组住院期间并发症总发生率低于对照组(P<0.05)。结论:循证导向预见性护理干预应用于HCC破裂出血,能够改善患者的血红蛋白、氧分压、血氧饱和度,缓解焦虑、抑郁、愤怒等不良心理情绪,缩短休克纠正时间、住院时间,降低住院期间并发症发生率。
Objective:To analyze the application effect of evidence-based oriented predictive nursing intervention in emergency treatment of liver cancer rupture and bleeding and its influence on patients'psychological status.Method:A total of 60 patients with hepatocellular carcinoma(HCC)rupture and bleeding from January to March 2022 in the Emergency Department of Third People's Hospital of Jiujiang City were selected and divided into an observation group and a control group according to the admisson time,30 cases in each group.The control group received routine emergency nursing intervention,and the observation group received evidence-based oriented predictive nursing intervention.The hemoglobin,blood partial pressure of oxygen,and oxygen saturation before and after nursing,mental status scale in non-psychiatric settings(MSSNS)scores in waking state,shock correction time and hospitalization time,mortality and incidence of complications during hospitalization were compared between the two groups.Result:Before nursing,there were no significant differences in hemoglobin,blood partial pressure of oxygen,and oxygen saturation between the two groups(P>0.05).After nursing,the hemoglobin,blood partial pressure of oxygen,and oxygen saturation in the observation group were higher than those in the control group(P<0.05).The scores of anxiety,depression,anger,loneliness degree and overall psychological status in the observation group were lower than those in the control group(P<0.05).After nursing,the time of shock correction and hospitalization in the observation group were shorter than those in the control group(P<0.05).There was no significant difference in the mortality between the two groups during hospitalization(P>0.05),and the total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:Evidence-based oriented predictive nursing intervention applied to HCC rupture and bleeding can improve patients'hemoglobin,blood partial pressure of oxygen,and oxygen saturation,relieve anxiety,depression,anger and other negative psychological emotions,shorten shock correction time and hospitalization time,and reduce the incidence of complications during hospitalization.
作者
梅园
唐林霞
王霄红
MEI Yuan;TANG Linxia;WANG Xiaohong(Third People's Hospital of Jiujiang City,Jiangxi Province,Jiujiang 332000,China;不详)
出处
《中国医学创新》
CAS
2023年第16期141-145,共5页
Medical Innovation of China
基金
江西省卫生健康委科技计划项目(SKJP220218042)。
关键词
肝癌破裂出血
急诊
循证导向
预见性护理
Liver cancer rupture and bleeding
Emergency treatment
Evidence-based oriented
Predictive nursing
