基于Blatchford入院危险性评分的分级护理在肝硬化合并急性上消化道出血患者中的应用效果

Application effects of Blatchford admission risk score-based grading nursing based on patients with liver cirrhosis complicated with acute upper gastrointestinal bleeding

目的:观察基于Blatchford入院危险性评分的分级护理在肝硬化合并急性上消化道出血患者中的应用效果。方法:回顾性分析2019年3—12月在该院接受常规护理的45例肝硬化合并急性上消化道出血患者的临床资料作为对照组,2020年1—10月在该院接受基于Blatchford入院危险性评分的分级护理的47例肝硬化合并急性上消化道出血患者的临床资料作为观察组。比较两组再出血率、止血时间,护理前后Blatchford入院危险性评分,以及护理满意度。结果:观察组再出血率低于对照组,止血时间短于对照组,差异均有统计学意义(P<0.05);护理后,两组Blatchford入院危险性评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为91.49%,高于对照组的71.11%,差异有统计学意义(P<0.05)。结论:基于Blatchford入院危险性评分的分级护理应用于肝硬化合并急性上消化道出血患者可降低再出血率和危险性评分,缩短止血时间,提高护理满意度,效果优于常规护理。

Objective: To observe application effects of Blatchford admission risk score-based grading nursing based on patients with liver cirrhosis complicated with acute upper gastrointestinal bleeding. Methods: The clinical data of 45 patients with liver cirrhosis complicated with acute upper gastrointestinal bleeding who received routine nursing in the hospital from March to December 2019 were retrospectively analyzed and they were used as control group. The clinical data of 47 patients with liver cirrhosis complicated with acute upper gastrointestinal bleeding who received Blatchford admission risk score-based grading nursing in the hospital from January to October 2020 were taken as observation group. The rebleeding rate, the hemostasis time, the Blatchford admission risk scores before and after the nursing, and the nursing satisfaction were compared between the two groups. Results: The rebleeding rate of the observation group was lower than that of the control group, the hemostasis time was shorter than that of the control group, and the differences were statistically significant(P<0.05). After the nursing, the Blatchford admission risk scores of the two groups were lower than those before the nursing, that of the observation group was lower than that of the control group, and the differences were statistically significant(P<0.05). Further, the nursing satisfaction of the observation group was 91.49%, which was higher than 71.11% of the control group, and the difference was statistically significant(P<0.05). Conclusions: Blatchford admission risk score-based grading nursing can reduce the rebleeding rate and the risk score, shorten the hemostasis time and improve the nursing satisfaction in the patients with liver cirrhosis complicated with acute upper gastrointestinal bleeding. Moreover, it is superior to the routine nursing.