基于全程风险管理的数字化防控体系在肝硬化合并上消化道出血患者中的应用

Application of a Digital Prevention and Control System Based on Full Risk Management in Patients with Cirrhosis Combined with Upper Gastrointestinal Bleeding

目的:探讨基于全程风险管理的数字化防控体系在肝硬化合并上消化道出血(UGIB)患者中的应用效果.方法:选取2022年1月至2023年12月本院收治的94例肝硬化合并UGIB患者作为研究对象.依据干预模式将其分为观察组(n=42,实施基于全程风险管理的数字化防控体系干预)和对照组(n=42,仅给予常规护理干预).比较两组患者术后临床指标,汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分和不良事件发生率.结果:观察组患者出血次数、抢救准备时间、止血时间、住院时间少于(短于)对照组,不良事件总发生率低于对照组,差异均有统计学意义(P<0.05);出院前1d,观察组患者HAMD、HAMA评分低于对照组,差异均有统计学意义(P<0.05).结论:与常规护理干预比较,基于全程风险管理的数字化防控体系在肝硬化合并UGIB患者中的应用效果较好,值得临床推广.

Objective:To analyze the effect of applying digital prevention and control system based on whole risk management in patients with liver cirrhosis combined with upper gastrointestinal bleeding(UGIB).Methods:A total of 94 patients with cirrhosis combined with UGIB admitted to our hospital from January 2022 to December 2023 were selected in this study.According to the intervention mode,they were divided into observation group(n=42,given digital prevention and control system intervention based on the whole risk management)and control group(n=42,given conventional intervention).The postoperative clinical indicators,the scores of Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD),and complication rate were compared between the two groups.Results:The number of episodes of bleeding,resuscitation preparation time,hemostasis time,and hospital stay of patients in observation group were less than those in control group,the differences were statistically significant(P<0.05).The total incidence of adverse events in observation group was lower than that in control group,the difference was statistically significant(P<0.05).HAMD and HAMA scores evaluated one day before discharge were lower in observation group than those in control group,the differences was statistically significant(P<0.05).Conclusion:Applying the digital prevention and control system based on the whole risk management to patients with cirrhosis combined with UGIB has better results than those only applying conventional interventions,which is applicable for clinical popularization.