基于危险评估的分级护理在急性消化道出血患者中的应用效果  

Application effects of graded nursing based on risk assessment in patients with acute gastrointestinal bleeding

作　　者：许兰兰 XU Lanlan(Digestive Medicine Department of Hukou County People’s Hospital,Jiangxi 332500 Jiujiang,China)

机构地区：[1]湖口县人民医院消化内科,江西九江332500

出　　处：《中国民康医学》2024年第17期166-168,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于危险评估的分级护理在急性消化道出血患者中的应用效果。方法:选取2020年5月至2022年5月该院收治的75例急性消化道出血患者进行前瞻性研究,按随机数字表法将其分为对照组37例与研究组38例。对照组采用常规护理,研究组采用基于危险评估的分级护理。比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、并发症发生率、护理前后舒适度[Kolcaba的舒适状况量表(GCQ)]评分和护理满意度评分。结果:出院前,两组SAS、SDS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组,差异有统计学意义(P<0.05);护理1周后,两组GCQ评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组护理满意度评分高于对照组,差异有统计学意义(P<0.05)。结论:基于危险评估的分级护理应用于急性上消化道出血患者可提高舒适度和护理满意度评分,降低负性情绪评分和并发症发生率,其效果优于常规护理。Objective:To observe application effects of graded nursing based on risk assessment in patients with acute gastrointestinal bleeding.Methods:A prospective study was conducted on 75 patients with acute gastrointestinal bleeding admitted to this hospital from May 2020 to May 2022.According to the random number table method,they were divided into control group(37 cases)and study group(38 cases).The control group was given routine nursing,while the study group was given the grading nursing based on risk assessment.The scores of negative emotions[selfrating anxiety scale(SAS),self-rating depression scale(SDS)],comfort[Kolcaba’s comfort questionnaire(GCQ)]before and after the nursing,and the nursing satisfaction and the incidence of complications were compared between the two groups.Results:Before discharge,the SAS,SDS scores of the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).After 1 week of nursing,the GCQ scores of the two groups were higher than those before nursing,that in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction score of the study group was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusions:The grading nursing based on risk assessment in the patients with acute upper gastrointestinal bleeding can improve the comfort and the nursing satisfaction scores and reduce the negative emotion scores and the incidence of complications.Moreover,it is superior to the routine nursing.

关 键 词：危险评估 分级护理 急性消化道出血 负性情绪 舒适度 并发症 

分 类 号：R473[医药卫生—护理学]