整体护理干预对十二指肠溃疡护理的影响研究

梁艳华

[摘要] 目的 分析整体护理干预对十二指肠溃疡护理的影响，明确其运用效果，总结运用体会。方法 采用随机抽样的方式，从该院2018年1—6月收治的十二指肠溃疡患者中抽取37例作为对照组;运用同样方式，从2018年7月—2019年1月收治的患者中抽取37例作为观察组。两组患者所运用的治疗方案基本一致，且临床资料完备。在此基础上，对照组采取常规护理干预，观察组运用整体护理干预。就两组的护理质量（护理态度、文书写作、病情管理、环境干预）与护理满意度进行调研和分析，并且评估两组患者的护理效果。结果 从整体上看，观察组的护理质量为（92.38±1.23）分优于对照组的（75.19±1.43）分，两项指标比较，差异有统计学意义（t=10.282，P=0.000）;观察组患者的护理服务满意度97.30%高于对照组的75.68%，差异有统计学意义（χ2=18.194，P=0.000）;观察组患者的护理有效率的94.59%明显优于对照组的78.38%，差异有统计学意义（χ2=9.896，P=0.000）。结论 在对十二指肠溃疡患者进行护理时，运用整体护理干预，能够改善患者的临床症状，优化其护理满意度，提高护理质量。

[关键词] 十二指肠溃疡;整体护理干预;患者满意度;护理质量;效果

[Abstract] Objective To analyze the effect of holistic nursing intervention on duodenal ulcer care， clarify its application effect， and summarize its application experience. Methods Using random sampling， 37 patients with duodenal ulcer admitted in the hospital from January  to June 2018 were selected as the control group; using the same method， from July 2018 to January 2019 the patients admitted each month， 37 cases were selected as the observation group. The treatment schemes used by the two groups of patients were basically the same， and clinical data were complete. On this basis， the control group used routine nursing intervention， and the observation group used overall nursing intervention. Investigate and analyze the nursing quality （nursing attitude， clerical writing， condition management， environmental intervention） and nursing satisfaction of the two groups and evaluate the nursing effect of the two groups of patients. Results On the whole， the quality of care in the observation group was （92.38±1.23）points better than that in the control group （75.19±1.43） points. Comparing the two indicators， the difference was statistically significant （t=10.282， P=0.000）; 97.30% of patients in the observation group had a higher satisfaction with nursing services than 75.68% in the control group， the difference was statistically significant （χ2=18.194， P=0.000）; 94.59% of patients in the observation group were significantly better than 78.38% in the control group， the difference was statistically significant （χ2=9.896， P=0.000）. Conclusion When nursing patients with duodenal ulcer， the use of holistic nursing intervention can improve the clinical symptoms of patients， optimize their nursing satisfaction and increase the nursing quality.

[Key words] Duodenal ulcer; Holistic nursing intervention; Patient satisfaction; Quality of care; Effect

在當前经济环境不断优化的状况下，人们的饮食条件也得到了提升，这就使得饮食结构趋于多元化。同时，人们在生产与生活中所面临的压力增加，周围环境的复杂性增强。在多种因素的作用下，消化系统疾病的诱发率逐年上升，十二指肠溃疡作为临床常见的一种消化系统疾病，其多是因胃部消化液对胃黏膜产生侵蚀，进而导致十二指肠组织存在损伤，形成溃疡创面的一种疾病[1]。……