问题管理模式在肝硬化食管胃静脉曲张出血中的临床应用研究

Clinical Application of Problem Management Model in Oesophagogastric Variceal Bleeding in Liver Cirrhosis

摘要: 目的：探讨问题管理模式在肝硬化食管胃静脉曲张出血患者中的应用效果。方法：按照入院时间先后顺序选取2021年5月~2022年5月我科住院的肝硬化食管胃静脉曲张出血患者，采用随机数表法将其分成对照组(154例)与实验组(153例)，对照组实施肝硬化消化道出血常规护理，实验组在对照组基础上实施问题管理模式干预，比较两组患者6周内再出血率、6周内死亡率、住院患者满意度。结果：实验组患者6周内再出血率显著低于对照组，差异有统计学意义(P < 0.05)；实验组住院患者满意度(非常满意)高于对照组，差异有统计学意义(P < 0.05)。结论对肝硬化食管胃静脉曲张出血患者采取问题管理模式，可减轻患者再出血的发生，提升患者住院满意度。

Abstract: Objective: To investigate the effect of problem management model in patients with esophagogastric variceal bleeding in cirrhosis. Methods: Patients with cirrhotic oesophagogastric variceal bleeding who were hospitalized in our department from May 2021 to May 2022 were selected in order of admission, and were divided into a control group (154 cases) and an experimental group (153 cases) by using the random number table method, the control group implemented routine care for cirrhotic gastrointestinal bleeding, and the experimental group implemented problem management model intervention on the basis of the control group. The rate of rebleeding within 6 weeks, mortality rate within 6 weeks, and inpatient satisfaction were compared between the two groups. Results: The rate of rebleeding within 6 weeks was significantly lower in the experimental group than in the control group, and the difference was statistically significant (P < 0.05); the inpatient satisfaction rate(great satisfaction) was higher in the experimental group than in the control group, and the difference was statistically significant (P < 0.05). Conclusion: The problem management model for patients with oesophagogastric variceal bleeding in liver cirrhosis can reduce the occurrence of rebleeding and improve patient satisfaction in hospital.