循证护理与预见性护理在上消化道出血急救中的应用效果比较

Application effect comparison of evidence-based nursing and predictive nursing in first-aid of upper gastrointestinal hemorrhage

目的探讨循证护理和预见性护理在上消化道出血急救中的应用效果。方法选择本院2014年1~12月收治的上消化道出血患者120例作为研究对象,将其随机分成A组和B组,各60例。A组患者给予循证护理,B组患者给予预见性护理,比较两组的临床护理效果。结果 A组的出血次数多于B组,但止血时间短于B组（P〈0.05）;A组的总有效率为88.33%,高于B组的85.00%,但差异无统计学意义（P〉0.05）。结论循证护理或预见性护理在上消化道出血的急救中,对患者均具有较好的护理效果,具体可根据科室的实际情况选择更恰当的护理方案。

Objective To explore the application effect of evidence-based nursing and predictive nursing in first-aid of upper gastrointestinal hemorrhage. Methods 120 patients with upper gastrointestinal hemorrhage admitted into our hospital from January 2014 to December 2014 were selected as research objects.They were evenly divided into group A and group B in random.In group A,evidence-based nursing was provided,while in group B,predictive nursing was adopted.The clinical nursing effect between two groups was compared. Results Frequency of bleeding in group A was more than that in group B,but time of stanching bleeding in group A was shorter than that in group B （P〈0.05）.The total effective rate in group A （88.33%） was higher than that in group B （85.00%）,but there was no statistical difference （P〉 0.05）. Conclusion Evidence-based nursing or predictive nursing in first-aid of upper gastrointestinal hemorrhage can obtain better nursing effect,and according to the actual situation of the department, a more appropriate nursing regimen is selected.