摘要
目的:观察分级护理在急性非静脉曲张性上消化道出血(ANVUGIB)患者中的应用效果。方法:选取92例ANVUGIB患者为研究对象,按照随机数字表法分为对照组和观察组各46例。对照组采用常规护理,观察组在对照组基础上采用分级护理。比较两组护理前后血尿素氮水平、血红蛋白水平,负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]评分,疾病知识掌握度和再出血发生率。结果:护理后,两组血尿素氮水平、SDS和SAS评分均低于护理前,且观察组低于对照组,两组血红蛋白水平均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组疾病知识掌握度高于对照组,再出血发生率低于对照组,差异均有统计学意义(P<0.05)。结论:在常规护理基础上采用分级护理可提高ANVUGIB患者的血红蛋白水平和疾病知识掌握度,以及降低血尿素氮水平、负性情绪评分和再出血发生率,优于单纯常规护理效果。
Objective:To observe application effects of grading nursing in patients with acute non-variceal upper gastrointestinal bleeding(NVUGIB).Methods:92 patients with ANVUGIB were selected as the research objects,and were divided into control group and observation group according to the random number table method,each with 46 cases.The control group took routine nursing,while the observation group was given the grading nursing the basis of that of the control group.The blood urea nitrogen level,the hemoglobin level,the negative emotion[self-rating depression scale(SDS),self-rating anxiety scale(SAS)]scores,the disease knowledge mastery and the incidence of rebleeding were compared between the two groups before and after the nursing.Results:After the nursing,the blood urea nitrogen level,the SDS score and SAS score of the two groups were lower than those before the nursing,and those of the observation group were lower than those of the control group;the hemoglobin levels of the two groups were higher than those before the nursing,and that of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05).Further,the disease knowledge mastery of the observation group was higher than that of the control group;the incidence of rebleeding was lower than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the application of the basic clinical grading nursing can improve the hemoglobin levels and the disease knowledge mastery of ANVUGIB patients,and reduce blood the urea nitrogen level,the negative emotion scores and the incidence of rebleeding.Moreover,it is superior to simple routine nursing.
作者
于晓军
YU Xiaojun(Pulandian District Central Hospital,Dalian 116200 Liaoning,China)
出处
《中国民康医学》
2021年第19期143-145,共3页
Medical Journal of Chinese People’s Health
关键词
急性非静脉曲张性上消化道出血
分级护理
尿素氮
血红蛋白
负性情绪
疾病知识掌握度
再出血
Acute non-variceal upper gastrointestinal bleeding
Grading nursing
Urea nitrogen
Hemoglobin
Negative emotion
Disease knowledge mastery
Rebleeding
