Rockall危险性积分在急性上消化道出血预见性护理中的应用

Application of rockall risk score in predictive acute upper gastrointestinal bleeding

目的:探讨基于Rockall危险性积分系统的预见性护理在急性上消化道出血患者中的应用。方法:收集2016年4-12月入住并诊断为急性上消化道出血的113例患者为实验组,选取2015年6月至2016年3月入院的符合急性上消化道出血诊断的113例出院患者作为对照组。对照组按常规护理,实验组进行Rockall评分,在常规护理基础上进行预见性护理。对2组患者的止血时间、住院日和住院患者护理满意度进行比较。结果:Rockall评分≥4分的患者中,实验组平均止血时间和住院日明显低于对照组(P<0.05),实验组患者护理满意度中的健康教育明显优于对照组(P<0.05)。结论:在Rockall评分的基础上进行预见性护理,可以降低上消化道出血患者止血时间、住院日,提高患者护理满意度,值得在临床中推广。

[Objective]To evaluate the predictive nursing based on Rockall Risk Scoring on patients with acute upper gastrointestinal bleeding. [Method]A total of 113 patients diagnosed with acute upper gastrointestinal bleeding from April2016 to December 2016 were selected as the experimental group and 113 patients who were admitted to the hospital from June 2015 to March 2016 in line with acute upper gastrointestinal bleeding were discharged as control group. The control group was received routine nursing and experimental group was received Rockall score. Hemostasis time,hospitalization days and inpatient satisfaction were compared between the two groups. [Result]Among patients with Rockall score≥4,the average bleeding time and hospital stay in experimental group were significantly lower than that ofthecontrol group( P< 0. 05). The health education in the nursing satisfaction of experimental group was obviously better than that of the control group( P < 0. 05). [Conclusion]On the basis of the Rockall score,predictive care can reduce the bleeding time and hospitalization days of patients with upper gastrointestinal bleeding,improve patient satisfaction with nursing,which is worthy of promotion.