以危险因素评估为指导的预见性护理对上消化道出血患者止血时间、并发症及出血次数的影响  

Effect of Predictive Nursing Guided by Risk Factor Assessment on Hemostasis Time,Complications and Bleeding Times in Patients with Upper Gastrointestinal Bleeding

作　　者：那艳宇 NA Yan-yu(ICU of Tianjin Second People's Hospital,Tianjin 300192,China)

机构地区：[1]天津市第二人民医院ICU,天津300192

出　　处：《医学信息》2024年第4期160-163,共4页Journal of Medical Information

摘　　要：目的研究在上消化道出血患者护理中应用以危险因素评估为指导的预见性护理,对止血时间、并发症及出血次数的影响。方法选取2020年3月-2021年3月在我院诊治的74例上消化道出血患者为研究对象,采用随机数字表法分为对照组和观察组,各37例。对照组采用常规护理,观察组在对照组基础上给予以危险因素评估为指导的预见性护理干预,比较两组止血时间、出血次数、住院时间、并发症发生率、应激指标、生活质量水平以及护理满意度。结果观察组止血时间、出血次数、住院时间均小于对照组(P<0.05);观察组并发症发生率为5.41%,低于对照组的16.22%(P<0.05);两组护理后肾上腺素、去甲肾上腺素、血浆皮质醇水平均低于护理前,且观察组低于对照组(P<0.05);两组护理后生活质量评分均高于护理前,且观察组大于对照组(P<0.05);观察组护理满意度为94.59%,高于对照组的86.49%(P<0.05)。结论以危险因素评估为指导的预见性护理干预应用于上消化道出血患者中,可缩短止血时间,减少出血次数,降低并发症发生率,提高护理满意度,减小应激反应,促进患者生活质量水平的改善,具有确切的应用护理效果。Objective To study the effect of predictive nursing guided by risk factor assessment on hemostasis time,complications and bleeding times in the nursing of patients with upper gastrointestinal bleeding.Methods A total of 74 patients with upper gastrointestinal bleeding diagnosed and treated in our hospital from March 2020 to March 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 37 patients in each group.The control group was given routine nursing,and the observation group was given predictive nursing intervention guided by risk factor assessment on the basis of the control group.The hemostasis time,bleeding frequency,hospitalization time,complication rate,stress index,quality of life and nursing satisfaction were compared between the two groups.Results The hemostasis time,bleeding times and hospitalization time of the observation group were less than those of the control group(P<0.05).The incidence of complications in the observation group was 5.41%,which was lower than 16.22%in the control group(P<0.05).After nursing,the levels of adrenaline,norepinephrine and plasma cortisol in the two groups were lower than those before nursing,and those in the observation group were lower than those in the control group(P<0.05).The quality of life scores of the two groups after nursing were higher than those before nursing,and the observation group was higher than the control group(P<0.05).The nursing satisfaction of the observation group was 94.59%,which was higher than 86.49%of the control group(P<0.05).Conclusion The application of predictive nursing intervention guided by risk factor assessment in patients with upper gastrointestinal bleeding can shorten the hemostasis time,reduce the number of bleeding,reduce the incidence of complications,improve nursing satisfaction,reduce stress response,and promote the improvement of patients'quality of life.It has a definite application nursing effect.

关 键 词：危险评估 预见性护理 上消化道出血 

分 类 号：R473.5[医药卫生—护理学]