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目的研究 Glasgow Blatchford score (GBS)评分在上消化道出血患者中评估入院后再出血危险性的分级护理中的应用,以提高上消化道出血患者病情观察的预见性。方法选取90例我院收治的上消化道出血患者分为对照组(n=45)和观察组(n=45),对照组尚未使用评分表,给予常规护理。观察组根据GBS评分标准评估患者入院后再出血危险性,根据危险程度给予危险程度分级护理,比较两组患者半年内再出血率及死亡率,比较护理前后尿素氮、血红蛋白水平及GBS评分,对比两组护理满意度。结果观察组半年内再出血率比对照组低,差异有统计学意义(P<005)。两组患者死亡率比较无显著差异(P>005)。观察组护理后尿素氮水平显著降低,且明显低于对照组;血红蛋白水平显著升高,且明显高于对照组,差异有统计学意义(P<005)。观察组患者护理后GBS评分低于护理前,差异有统计学意义(P<005)。观察组护理满意率(97.79%)高于对照组(88.89%),比较差异无统计学意义(P>005)。结论在患者入院时,根据GBS评分,对上消化道出血患者再出血危险性进行评估,实施危险度的分级护理,能降低患者再出血率,护理满意度高。
Objective To study the application of the Glasgow Blatchford score (GBS) score in grading nursing care in patients with upper gastrointestinal hemorrhage to assess the risk of rebleeding after admission to improve the predictability of the observation of patients with upper gastrointestinal bleeding. Methods Totally 90 cases of upper gastrointestinal bleeding admitted to our hospital were divided into control group (n = 45) and observation group (n = 45). The control group did not use the score table and received routine nursing care. The observation group evaluated the risk of rebleeding after admitted to hospital according to the GBS score, classified the degree of risk according to the degree of risk, and compared the rate of hemorrhage and mortality in the two groups within six months. The levels of urea nitrogen, hemoglobin and GBS before and after nursing were compared Two groups of nursing satisfaction. Results The rate of rebleeding in the observation group within six months was lower than that in the control group (P <005). There was no significant difference in mortality between the two groups (P> 005). In the observation group, the level of blood urea nitrogen decreased significantly, which was significantly lower than that of the control group. The hemoglobin level was significantly higher in the observation group than that in the control group (P <0.05). The score of GBS in the observation group after nursing was lower than that before nursing, the difference was statistically significant (P <005). The nursing satisfaction rate in the observation group (97.79%) was higher than that in the control group (88.89%), with no significant difference (P> 005). Conclusions When patients are admitted to hospital, according to the GBS score, the risk of rebleeding in patients with upper gastrointestinal bleeding is evaluated, and the graded nursing care can reduce the rate of rebleeding and nursing satisfaction.