分级式急诊护理对改善急性上消化道出血患者预后质量的影响分析

目的:分析急性上消化道出血患者应用分级式急诊护理对其预后产生的影响。方法:将自2020年1月1日至2020年5月11日在我院进行治疗的急性上消化道出血患者38例纳入对照组,将38例2023年1月1日~2023年2月28日我院收治的急性上消化道出血患者纳入观察组,对照组与观察组患者入院后分别采用常规急救护理及分级式急诊护理,对比两组止血成功率、再出血率及干预前后红细胞计数(PLT)、血红蛋白(Hb)水平、血尿酸氮(BUN)水平,对比干预前后出血风险度机汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分。结果:观察组止血成功率显著更高且再出血率显著更低(P<0.05)。干预前两组患者Hb、PLT及BUN水平无显著差异(P>0.05),干预后观察组患者Hb与PLT水平均较对照组高,BUN水平均较对照组低(P<0.05)。干预前患者出血风险度无明显差异(P>0.05),干预后观察组患者出血风险度均明显更低,低危及中危患者占比均更高(P<0.05)。干预前两组HAMA评分与HAMD评分差异不显著(P>0.05),干预后观察组评分根底(P<0.05)。结论:急性上消化道出血患者采用分级式急诊护理可加快止血并有效减轻患者心理负担,应用价值较高。

Objective:To analyze the effect of on the prognosis of acute upper gastrointestinal bleeding patients using graded emergency nursing.Methods:There were 38 patients who were with acute upper gastrointestinal bleeding in the control group,who were treated from January 1,2020 to May 11,2020.The observation group has 38 acute upper gastrointestinal bleeding patients who were treated in our hospital from January 1,2023 to February 28,2023.The patients were treated with routine emergency care and graded emergency care respectively after admission,and the success rate of hemostasis was compared between the two groups The rebleeding rate and the level of red blood cell count(PLT),hemoglobin(Hb)and blood uric acid nitrogen(BUN)before and after the intervention were compared with the scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)before and after the intervention.Results:The success rate of hemostasis was significantly higher(P<0.05).Before intervention,the difference of the two groups in the levels of Hb,PLT and BUN was not significant(P>0.05).After intervention,the observation group’s levels of Hb and PLT were higher and the levels of BUN were lower(P<0.05).There difference in the bleeding risk of patients before intervention was not significant(P>0.05).After intervention,the bleeding risk of patients in the observation group was significantly lower,and the proportion of low-risk and medium-risk patients was higher(P<0.05).There difference between the HAMA score and the HAMD score of patients before intervention was not significant(P>0.05).After intervention,the observation group’s negative psychological state scores were significantly lower(P<0.05).Conclusion:The patients with acute upper gastrointestinal bleeding used application of graded emergency nursing can ensure the hemostatic effect,and can reduce the psychological burden of patients,with high application value.