循证医学基础下的优质护理在内镜治疗上消化道出血中的应用效果

Application effect of high quality nursing based on evidence-based medicine in endoscopic treatment of upper gastrointestinal bleeding

目的探讨循证医学基础下的优质护理在内镜治疗上消化道出血中的应用效果。方法选择2020年10月至2022年10月126例内镜治疗上消化道出血患者为研究对象,根据随机数字表法将其分为对照组和研究组,各63例。所有患者行内镜下金属钛夹止血治疗,对照组行常规护理,研究组在对照组基础上开展循证医学基础下的优质护理。比较两组的干预效果。结果研究组的即时止血率、止血总有效率高于对照组,72 h后再出血率、外科再手术率低于对照组,输血量少于对照组,消化道功能恢复时间及住院时间短于对照组(P<0.05)。出院时,研究组的血小板计数(PLT)、白蛋白(ALB)、血红蛋白(HGB)水平及中文版心理弹性量表(CD-RISC)、胃肠道生活质量指数(GIQLI)评分高于对照组,尿素氮(BUN)水平及Blatchford危险评分系统(BRS)评分低于对照组(P<0.05)。结论循证医学基础下的优质护理应用于内镜治疗上消化道出血中有助于提高止血效果,改善患者心理状态与生活质量,对促进患者术后恢复、改善预后有积极意义。

Objective To explore the application effect of high quality nursing based on evidence-based medicine in endoscopic treatment of upper gastrointestinal bleeding.Methods A total of 126 patients with upper gastrointestinal bleeding treated by endoscopy from October 2020 to October 2022 were selected as the research objects,the patients were divided into control group and study group according to the random number table method,with 63 cases in each group.All patients underwent endoscopic titanium clip hemostasis,the control group received routine nursing,and the study group carried out high quality nursing based on evidence-based medicine on the basis of the control group.The intervention effects of the two groups were compared.Results The immediate hemostasis rate and total effective rate of hemostasis in the study group were higher than those in the control group,rebleeding rate after 72 h and surgical reoperation rate were lower than those in the control group,and the blood transfusion volume was less than that in the control group,and the recovery time of digestive tract function and hospitalization time were shorter than those in the control group(P<0.05).At discharge,the platelet count(PLT),albumin(ALB),hemoglobin(HGB)levels,Connor-Davidson Resilience Scale(CD-RISC)and Gastrointestinal Quality of Life Index(GIQLI)scores in the study group were higher than those in the control group,while the urea nitrogen(BUN)level and Blatchford Risk Score(BRS)score were lower than those in the control group(P<0.05).Conclusion The high quality nursing based on evidence-based medicine applied in endoscopic treatment of upper gastrointestinal bleeding is helpful to increase the hemostatic effect,improve the psychological state and quality of life of patients,and has positive significance for promoting postoperative recovery and improving prognosis.