The effect of systematic management intervention on nursing care and prevention of complications in patients with emergency gastrointestinal bleeding
系统化管理干预在急诊消化道出血患者中的护理效果及对并发症的预防作用

摘要

目的 分析系统化管理干预在急诊消化道出血患者中的护理效果及对并发症的预防作用。方法 选择我院收治的急诊消化道出血患者50例为研究对象，将其按随机分组方法分为对照组（25例，接受常规管理方法）和观察组（25例，采取系统化管理干预），对两组的护理效果，如两组患者的心理状态（焦虑、抑郁）评分、临床指标（止血时间、住院时间）、生活质量评分、并发症发生率以及护理满意度进行对比与评估。结果 护理后两组均取得一定效果，但观察组患者的生活质量评分高于对照组（P＜0.05）。观察组患者的焦虑、抑郁评分均低于对照组（P＜0.05）。观察组的止血时间、住院时间均短于对照组（P＜0.05）。观察组患者的并发症发生率低于对照组（P＜0.05）。观察组患者的护理满意度高于对照组（P＜0.05）。结论 在对急诊消化道出血患者实施系统化管理干预可取得明显的效果，有效改善患者的心理状态，提高生活质量和护理满意度，降低并发症发生率。有较高应用价值。

Abstract

Objective To analyze the nursing effect of systematic management intervention in patients with emergency gastrointestinal bleeding and the prevention of complications. How: Fifty patients with emergency gastrointestinal bleeding admitted to our hospital were selected as the study objects, and they were randomly divided into control group (25 cases, receiving conventional management methods) and observation group (25 cases, adopting systematic management intervention). For example, the psychological status (anxiety, depression) scores, clinical indicators (time to stop bleeding, length of stay), quality of life scores, complication rate and nursing satisfaction of the two groups were compared and evaluated.
Results After nursing, both groups achieved a certain effect, but the quality of life score of observation group was higher than that of control group (P < 0.05). The scores of anxiety and depression in observation group were lower than those in control group (P < 0.05). The duration of hemostasis and hospitalization in the observation group were shorter than those in the control group (P < 0.05). The complication rate of observation group was lower than that of control group (P < 0.05). The nursing satisfaction of observation group was higher than that of control group (P < 0.05).
Conclusion   The implementation of systematic management intervention in emergency gastrointestinal bleeding patients can achieve obvious results, effectively improve the psychological state of patients, improve the quality of life and nursing satisfaction, and reduce the incidence of complications. It has high application value.