Re-bleeding risk evaluation and efficacy of clinical grading nursing intervention in patients with acute non-variceal upper gastrointestinal bleeding
-
摘要: 目的 运用Rockall危险性积分评估急性非静脉曲张性上消化道出血(ANVUGIB)患者再出血危险程度,并评估临床分级护理干预效果.方法 将2014年1-12月入院的56例患者设为对照组,将2015年1-12月入院的51例患者设为实验组.在消化道出血治疗基础上,对照组给予常规护理,实验组实施基于Rockall危险性积分的临床分级护理干预.观察2组住院期间再出血发生情况,对比2组焦虑、抑郁情绪改善情况,以及患者疾病认知和遵医嘱行为.结果 实验组再出血总发生率7.8％,显著低于对照组的25.0％(P＜0.05);干预后,2组SDS和SAS评分均显著下降(P＜0.05或P＜0.01),且实验组显著低于对照组(P＜0.01);实验组疾病知识和认知行为掌握人数比例显著高于对照组(P＜0.05或P＜0.01),遵医嘱行为依从率显著高于对照组(P＜0.05).结论 基于Rockall危险性评分的临床分级护理干预能有效降低ANVUGIB患者再出血风险,缓解焦虑、抑郁情绪,提高患者疾病认知和遵医嘱行为.
-
关键词:
- 非静脉曲张性上消化道出血 /
- 再出血 /
- Rockall危险性积分 /
- 分级护理
Abstract: Objective To evaluate the re-bleeding risk severity and the clinical efficacy of clinical grading nursing intervention in patients with acute non-variceal upper gastrointestinal bleeding (ANVUGIB) using Rockall risk scoring.Methods A total of 56 patients from January to December 2014 were selected as control group while another 51 cases from January to December 2015 were as experimental group.Control group was added with routine nursing while experimental group with clinical grading nursing intervention based on Rockall risk scoring on the basis of treatment for gastrointestinal bleeding.The occurrence rate of re-bleeding during hospitalization was observed inboth groups,the improvement of anxiety and depression as well as patients'cognition on disease and behaviors following doctors'advice were compared between two groups.Results The total occurrence rate of re-bleeding was 7.8％ in experimental group,evidently lower than the 25.0％ in control group (P ＜0.05).After intervention,self-rating depression scale (SDS) and self-rating anxiety scale (SAS) decreased in both groups (P ＜0.05 or P ＜0.01),which decreased more significantly in experimental group than that in control group (P ＜0.01).Experimental group was markedly higher in the number of patients who grasped the knowledge and cognitive behaviors on disease (P ＜ 0.05 or P ＜ 0.01) as well as the compliance of behaviors following doctors'advice than control group (P ＜ 0.05).Conclusion Clinical grading nursing intervention based on Rockall risk scoring can effectively reduce the re-bleeding risk of patients with ANVUGIB,relieve their anxiety and depression,and improve their cognition on disease and behaviors following doctors'advice. -
-
期刊类型引用(10)
1. 方慧孜，单海霞，王利维，陈燕. 基于思维导图的风险管理模式在新生儿窒息中的应用效果. 中国医药导报. 2024(03): 179-182 . 
百度学术
2. 张姗姗，丁婧，秦好奇，张茜. 不同机械通气方案联合多巴酚丁胺治疗新生儿持续肺动脉高压的临床效果对比. 河南医学研究. 2024(17): 3140-3142 . 百度学术
3. 张耀华. 新生儿窒息复苏后持续肺动脉高压分析. 包头医学. 2023(01): 14-15+34 . 百度学术
4. 曹娜. 新生儿窒息复苏后持续肺动脉高压的影响因素. 中国医药指南. 2023(22): 110-112 . 百度学术
5. 王然，张天虎. 新生儿窒息复苏后持续性肺动脉高压的影响因素与预防干预措施. 名医. 2023(19): 39-41 . 百度学术
6. 郭朝利. 新生儿窒息原因分析及多科室协作在复苏护理中的应用研究. 中国药物与临床. 2021(05): 892-894 . 百度学术
7. 王亚红，周莲娟，朱姗姗. 新生儿窒息复苏后持续性肺动脉高压影响因素的病例对照研究. 中国妇幼保健. 2021(14): 3314-3316 . 百度学术
8. 孙丽丽. 高频振荡通气联合猪肺磷脂注射液治疗新生儿胎粪吸入综合征并肺动脉高压的效果. 河南医学研究. 2021(32): 6048-6051 . 百度学术
9. 阮敏仪，李敏许，杨勇，苏锦珍，邓皓辉. 早产儿与足月儿发生新生儿持续性肺动脉高压的特点分析. 中国医学创新. 2020(12): 157-160 . 百度学术
10. 马旭涛，赵蒙. 围生期窒息患儿颅脑超声影像学特点. 河南医学研究. 2020(29): 5504-5506 . 百度学术
其他类型引用(1)
计量
- 文章访问数: 348
- HTML全文浏览量: 114
- PDF下载量: 7
- 被引次数: 11
下载:
苏公网安备 32100302010246号
