预警管理在预防内镜下黏膜剥离术后出血的护理效果

Nursing effect of early warning management in prevention of bleeding in patients after endoscopic submucosal dissection

目的:探讨预警管理在预防消化道内镜下黏膜剥离(ESD)术后出血的应用效果。方法:选取2021年1~10月在弋矶山医院接受ESD治疗的100例患者作为研究对象,随机将其分为对照组(50例)及观察组(50例),对照组进行常规护理,观察组在常规护理的基础上增加预警管理干预。比较两组患者术后出血、焦虑、再入院率及护理满意度情况。结果:两组患者术后出血率和再入院率差异无统计学意义(P>0.05)。两组患者术后(出院当天)汉密尔顿焦虑量表(HAMA)评分均较术前(入院第2天)降低(P<0.05),且观察组下降幅度优于对照组(P<0.05)。观察组满意率(96.00%)高于对照组(76.00%),差异有统计学意义(P<0.05)。结论:预警管理可以预防和及时处理ESD术后出血,值得临床上推广应用。

Objective:To observe the application effect of early warning management in prevention of bleeding in patients following endoscopic mucosal dissection(ESD).Methods:One hundred patients undergone ESD in our hospital were included from January to October of 2021,and randomized to control group(n=50)and observational group(n=50).Patients in the control group received simple conventional nursing,and those in the observational group were given additional early warning management besides the routine nursing.Then the two groups were compared regarding incidences of postoperative bleeding,anxiety,readmission rate and satisfaction with the nursing.Results:There was no significant difference in the postoperative bleeding rate and readmission rate between groups(P>0.05).The scoring on Hamilton Anxiety Scale(HAMA)was reduced at the day of discharge compared to the second day of admission in both groups(P<0.05),yet the decrease was dominant in observational group(P<0.05).Patients in the observational group had higher satisfaction rate in nursing than those in the control group(96.00%vs.76.00%;P<0.05).Conclusion:Early warning management is worthy of clinical recommendation because this nursing procedure can prevent and manage postoperative bleeding from ESD.