基于AIMS65危险度评分的上消化道出血分层护理管理

Stratified nursing management based on risk assessment of AIMS65 scale for upper gastrointestinal hemorrhage patients

目的基于AIMS65量表评分评估上消化道出血的危险性,并探讨分层护理管理措施的应用效果。方法将2013年9月-2014年8月住院的223例患者作为对照组,2014年9月-2015年8月住院的230例患者作为实验组。对照组采取常规治疗及护理,实验组在对照组基础上,依据AIMS65量表评分结果对上消化道出血严重程度进行分级,采取分层护理措施干预。结果随着AIMS65量表评分的增高,实验组内各分值组患者人数逐渐下降,各分值组再出血、输血、内镜干预发生率呈升高趋势。实验组和对照组患者的住院时间、住院费用差异有统计学意义(P<0.01)。结论 AIMS65量表可进行有效风险分级,对患者再出血发生、输血需求具有良好的预测能力,对患者进行分层护理后可减少医疗费用,缩短住院周期,对节约医疗资源具有重要的作用。

Objective To investigate the effect of stratified nursing management based on AIMS65 risk assessment in upper gastrointestinal hemorrhage patients. Methods A total of 223 patients with upper gastrointestinal hemorrhage were selected as the control group between September 2013 and August 2014,another 230 patients were enrolled as the study group between September 2014 and August 2015. Both two groups received standard treatment and nursing care. Patients in the study group were stratified according to the AIMS65 risk scoring,and target nursing management was carried out additionally. Results The rate of rehaemorrhagia,blood transfusion,endoscopic intervention increased with the increase of increase of AIMS65 score in the study group. Patients in the study group had a shorter length of stay and lower hospitalization costs compared with those in the control group（P〈0.01）. Conclusion AIMS65 scale shows efficacy in risk assessment of patients with upper gastrointestinal hemorrhage. Stratified nursing management based on risk scoring can reduce medical costs and shorten the length of stay of patients,which is important to save the medical resource.