以危险评估为指导的护理干预在消化内镜治疗上消化道出血患者中的应用效果

Application effect of nursing intervention guided by risk assessment in patients with upper gastrointestinal bleeding treated with digestive endoscopy

目的探讨以危险评估为指导的护理干预在消化内镜治疗上消化道出血患者中的应用效果。方法纳入2021年10月至2022年12月我院诊治的120例上消化道出血患者,按护理方案的差异将其分为对照组和观察组,每组60例。对照组开展常规护理干预,观察组在对照组基础上接受以危险评估为指导的护理干预。比较两组的护理效果。结果观察组的48 h后再出血率明显低于对照组,住院时间明显短于对照组(P<0.05)。护理后,两组的血红蛋白(Hb)、血细胞比容(HCT)水平升高,且观察组高于对照组(P<0.05);护理后,两组的血尿素氮(BUN)、皮质醇(Cor)、8-羟基脱氧鸟嘌呤核苷(8-OHdG)及氧化低密度脂蛋白(ox-LDL)水平降低,且观察组低于对照组(P<0.05)。护理后,观察组的生活质量指数问卷(QL-INDEX)各维度评分高于对照组(P<0.05)。结论在消化内镜治疗上消化道出血患者中,采取以危险评估为指导的护理干预能够提高止血效果,降低应激反应程度,促进病情恢复。

Objective To investigate the application effect of nursing intervention guided by risk assessment in patients with upper gastrointestinal bleeding treated with digestive endoscopy.Methods A total of 120 patients with upper gastrointestinal bleeding diagnosed and treated in our hospital from October 2021 to December 2022 were included.According to the difference of nursing plan,the patients were divided into control group and observation group,with 60 cases in each group.The control group received routine nursing intervention,and the observation group received nursing intervention guided by risk assessment on the basis of the control group.The nursing effects of the two groups were compared.Results The rebleeding rate after 48 h in the observation group was significantly lower than that in the control group,and the hospitalization time was significantly shorter than that in the control group(P<0.05).After nursing,the levels of hemoglobin(Hb)and hematocrit(HCT)in the two groups increased,and those in the observation group were higher than the control group(P<0.05);after nursing,the levels of blood urea nitrogen(BUN),cortisol(Cor),8-hydroxy-deoxyguanosine(8-OHdG)and oxidized low density lipoprotein(ox-LDL)in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).After nursing,the scores of each dimension of Quality of Life Index(QL-INDEX)in the observation group were higher than those in the control group(P<0.05).Conclusion In patients with upper gastrointestinal bleeding treated by digestive endoscopy,nursing intervention guided by risk assessment can improve the hemostatic effect,reduce the degree of stress response and promote the recovery of the disease.