临床护理路径建立对急性非静脉曲张性上消化道出血患者再出血及预后的影响

Influence of Clinical Nursing Pathway Establishment on Rebleeding and Prognosis of Patients with Acute Non-variceal Upper Gastrointestinal Bleeding

目的分析临床护理路径建立对急性非静脉曲张性上消化道出血(ANVUGIB)患者再出血及预后的影响。方法选择医院诊治的ANVUGIB患者63例,分为对照组(n=33)和干预组(n=30)。对照组予以常规护理干预,干预组采取临床护理路径干预,比较两组护理效果。结果干预组患者护理总满意率96.67%,高于对照组(66.67%,P<0.05);干预后,干预组患者血红蛋白水平高于对照组,血尿素氮水平低于对照组(P<0.05);干预后,干预组患者BRS积分、患者再出血率低于对照组,依从率(90.00%)高于对照组(63.64%,P<0.05)。结论临床护理路径能明显提升ANVUGIB患者预后,减少再出血风险,改善营养与代谢指标。

Objective To analyze efect of clinical nursing pathway on acute non-variceal upper gastrointestinal bleeding(ANVUGIB)and prognosis.Methods Methods 63 patients with ANVUGIB were divided into control group(n=33)and intervention group(n=30),they were given routine nursing and clinical nursing pathway respectively.Results after intervention,nursing satisfaction rate of intervention group was 96.67%,which was higher than 66.67%of control group(P<0.05);hemoglobin level of the intervention group was higher than that of the control group,blood urea nitrogen level was lower than that of control group(P<0.05);BRS score and rebleeding rate of intervention group were lower than those of control group,compliance rate was 90.00%,higher than 63.64%of control group(P<0.05).Conclusion clinical nursing pathway can significantly improve prognosis of patients with ANVUGIB,reduce the risk of rebleeding and improve nutritional and metabolic indicators.