简介：　　【摘 要】目的：分析预见性及针对性护理在肝硬化合并上消化道出血护理中的应用疗效。方法：以本院 2017年 3月～ 2020年 3月间治疗的 82例肝硬化合并上消化道出血患者作为研究对象，借助双盲随机抽样法分为对照、研究组，每组列入 41例，对照组实施常规护理干预，研究组实施预见性及针对性护理干预，对比 2组护理满意度、 SDS、 SAS评分。结果：研究组的护理满意度（ 95.12%）相较于对照组（ 80.48%）较高 ;研究组 SDS、 SAS评分相较于对照组明显升高， P<0.05。结论：肝硬化合并上消化道出血患者實施预见性及针对性护理干预具有明显的优势，可显著提升患者的护理满意度，进而改善其心理状态，值得临床推广与采纳。  　　【关键词】预见性 ;针对性护理 ;肝硬化合并上消化道出血 ;应用疗效  　 [Abstract] Objective: to analyze the effect of predictive and targeted nursing in the nursing of liver cirrhosis with upper gastrointestinal hemorrhage. Methods: 82 patients with cirrhosis and upper gastrointestinal hemorrhage treated in our hospital from March 2017 to March 2020 were divided into control group and study group by double blind random sampling method. Each group was included in 41 cases. Routine nursing intervention was carried out in the control group. Predictive and targeted nursing intervention was carried out in the study group. Nursing satisfaction, SDS and SAS scores were compared in the two groups. Results: the nursing satisfaction of the study group (95.12%) was higher than that of the control group (80.48%); the SDS and SAS scores of the study group were significantly higher than that of the control group (P < 0.05). Conclusion: the implementation of predictive and targeted nursing intervention in patients with cirrhosis and upper gastrointestinal hemorrhage has obvious advantages, which can significantly improve the patients' nursing satisfaction, and then improve their psychological state, which is worthy of clinical promotion and adoption.