摘要
目的评价临床分级护理干预在消化道出血患者中的应用效果。方法选取2013年2月～2014年2月于我院住院的58例消化道出血患者为对照组，给予常规护理；选取2014年3月～2015年3月收治的60例消化道出血患者为观察组，在常规护理的基础上依据Blatchford入院危险性积分（BRS）结果采用分级护理干预，评估两组护理效果，分析不同护理方式对消化道出血患者血液指标及再出血率的影响。结果干预后，观察组血红蛋白水平上升至（118．41±2．87）g／L，高于对照组；血尿素氮水平降低至（5．89±1．44）mmol／L，降低幅度明显高于对照组，两组间差异均有统计学意义（P〈0．05）。干预后，观察组PT、APTT、TT等凝血指标分别改善至（12．86±0．82）s、（28．42±0．52）s和（12．98±0．16）s，与对照组相比，差异均有统计学意义（P〈0．05）；且观察组BRs评分明显降低（〈6分者占55．00％），显著高于对照组的34．48％，两组间差异亦有统计学意义（P〈．05）。另外，观察组再出血率为3．33％，显著低于对照组的17．24％，两组间差异有统计学意义（P〈0．05）。结论在消化道出血患者的临床干预中，采用基于危险性的分级护理，可改善患者的血液指标水平，降低再出血率。
Objective To analyze the effect of risk-based grading nursing intervention on blood indexes and rebleeding rate of patients with gastrointestinal bleeding, and summarize the application value of risk grading nursing in patients with gastrointestinal bleeding. Methods 58 patients with gastrointestinal bleeding continuously hospitalized in our hospital from February 2013 to February 2014 were selected as the control group. 60 patients with gastrointestinal bleeding treated from March 2014 to March 2015 were selected as the observation group. Based on the conventional nursing, grading nursing intervention was adopted according to the results of Blatchford admission risk score （BRS）. The nursing effects in the two groups were evaluated and the effect of different nursing methods on blood indexes and rebleeding rate of patients with gastrointestinal bleeding was analyzed. Results After the intervention, the hemoglobin level of the observation group increased to （118.41±2.87） g/L which was higher than that of the control group. The blood urea nitro- gen decreased to （5.89±1.44） mmol/L. The decline was significantly greater than that in the control group. The differences of the indexes between the two groups after the intervention were statistically significant （P〈0.05） ; After the intervention, the coagulation indicators such as PT, APTT and TT of the observation group increased to （12.86±0.82）s, （28.42±0.52） s and （12.98±0.16） s, respectively. Compared with the control group, the differences were statistically significant （P〈0.05） ; Besides, BRS of the observation group decreased significantly. Less than 6 points accounted for 55.00 % which was significantly higher than that in the control group （34.48 %） （P〈0.05）. The bleeding rate in the observation group （3.33%） was significantly lower than that in the control group （17.24%） （P〈0.05）. Conclusion In the clinical intervention of patients with gastrointestinal bleeding, to adopt risk-based grading nursing can improve the levels of patients＇ blood indexes and reduce the rebleeding rate.
出处
《西部医学》
2016年第12期1762-1765,共4页
Medical Journal of West China
基金
四川省科技厅青年基金资助项目(2015JQO058)
关键词
分级护理
危险性
消化道出血
再出血
Grading nursing
Risk
Gastrointestinal bleeding
Rebleeding
