摘要
目的探讨基于格拉斯哥-布拉奇福德出血评分(GBS)的分层护理联合阶段性健康宣教在上消化道出血患者中的应用效果。方法选取2021年4月至2023年2月我院收治的120例上消化道出血患者为研究对象,按照随机数字表法将其分为对照组(60例,常规护理)和观察组(60例,基于GBS评分的分层护理联合阶段性健康宣教)。比较两组的护理效果。结果观察组的止血时间及住院时间均短于对照组(P<0.05)。护理后,观察组的认知情况评分明显高于对照组(P<0.05);观察组的依从性评分明显高于对照组(P<0.05)。护理后,观察组的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均明显低于对照组(P<0.05)。观察组的护理满意度明显高于对照组(P<0.05)。结论基于GBS评分的分层护理联合阶段性健康宣教可缩短上消化道出血患者的止血时间及住院时间,提高其认知情况、依从性及满意度,减轻负面情绪,值得推广。
Objective To explore the application effect of stratified nursing based on Glasgow-Blatchford Score(GBS)combined with phased health education in patients with upper gastrointestinal bleeding.Methods A total of 120 patients with upper gastrointestinal bleeding admitted in our hospital from April 2021 to February 2023 were selected as the research objects.According to the random number table method,the patients were divided into control group(60 cases,routine nursing)and observation group(60 cases,stratified nursing based on GBS score combined with phased health education).The nursing effects of the two groups were compared.Results The hemostasis time and hospitalization time of the observation group were shorter than those of the control group(P<0.05).After nursing,the cognitive score of the observation group was significantly higher than that of the control group(P<0.05);the compliance score of the observation group was significantly higher than that of the control group(P<0.05).After nursing,the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores of the observation group were significantly lower than those of the control group(P<0.05).The nursing satisfaction of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Stratified nursing based on GBS score combined with phased health education can shorten the hemostasis time and hospitalization time of patients with upper gastrointestinal bleeding,improve cognition,compliance and satisfaction,and reduce negative emotions,which is worthy of promotion.
作者
于萍
桂英
程莉
任洋洋
YU Ping;GUI Ying;CHENG Li;REN Yangyang(the Second Affiliated Hospital of Xi'an Medical University,Xi'an 710038,China)
出处
《临床医学研究与实践》
2024年第26期151-154,共4页
Clinical Research and Practice