分级式急诊护理联合心理护理在急性上消化道出血患者护理中的应用效果

A study on the effect of graded emergency care combined with psychological care in the care of patients with acute upper gastrointestinal bleeding

目的分析分级式急诊护理联合心理护理对急性上消化道出血(UGIB)患者自我护理评分、止血时间及住院时间、负性情绪的影响。方法选取2019年6月—2021年6月南阳市某医院收治的80例UGIB患者为研究对象,采用随机数字表法分为对照组和观察组,各40例。对照组患者给予急诊护理联合心理护理,观察组患者给予分级式急诊护理联合心理护理,2组患者均持续护理至出院。比较2组患者护理前后自我护理评分、止血时间及住院时间、负性情绪改善情况[焦虑自评量表(SAS)及抑郁自评量表(SDS)]。结果护理前,2组患者自我护理评分比较,差异无统计学意义(P>0.05);护理后,2组患者自我护理评分高于护理前,观察组高于对照组,差异均有统计学意义(P<0.05)。观察组患者止血时间及住院时间短于对照组,差异均有统计学意义(P<0.05)。护理前,2组患者SAS评分及SDS评分比较,差异均无统计学意义(P>0.05);护理后,2组患者SAS评分及SDS评分低于护理前,观察组低于对照组,差异均有统计学意义(P<0.05)。结论分级式急诊护理联合心理护理可有效提高UGIB患者自我护理水平,缩短救治及康复时间,改善负性情绪,值得在临床上推广使用。

Objective To analyze the effects of graded emergency care combined with psychological care on the self-care scores,hemostasis time and hospital stay,and negative emotions in patients with acute upper gastrointestinal bleeding(UGIB).Methods Eighty cases of UGIB patients admitted to a hospital in Nanyang City from June 2019 to June 2021 were selected for the study and divided into a control group and an observation group,40 cases each,using the random number table method.Patients in the control group were given emergency care combined with psychological union,and patients in the observation group were given graded emergency care combined with psychological care,and both groups received continuous care until discharge.The self-care scores,time of hemostasis and length of hospital stay,and improvement of negative emotions[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]were compared between the 2 groups of patients before and after care.Results Before nursing care,there was no statistically significant difference between the self-care scores of patients in the 2 groups(P>0.05);after nursing care,the self-care scores of patients in the 2 groups were higher than before nursing care,and higher in the observation group than in the control group,and all differences were statistically significant(P<0.05).The time of hemostasis and hospital stay were shorter in the observation group than in the control group,and the differences were statistically significant(P<0.05).Before nursing care,there was no statistically significant difference between the SAS and SDS scores of patients in the 2 groups(P>0.05);after nursing care,the SAS and SDS scores of patients in the 2 groups were lower than before nursing care,and the observation group was lower than the control group,with were statistically significant differences(P<0.05).Conclusion Graded emergency care combined with psychological care can effectively improve the self-care level of UGIB patients,shorten the rescue and recovery time,and improve negative emotions,which is worth promoting in clinical practice.