Discussion on the risk assessment of postoperative bleeding and targeted nursing measures after endoscopic mucosal resection (EMR)
消化内镜下黏膜切除术（EMR）术后出血风险评估与针对性护理措施探讨

摘要

目的 探讨消化内镜下黏膜切除术（EMR）术后出血的风险因素，分析针对性护理措施的效果。方法 选取2024年1月至2025年6月在接受EMR治疗的患者120例，随机分为对照组（常规护理）与观察组（在风险评估基础上实施针对性护理）各60例，对比干预效果。结果 观察组术后出血发生率（3.33%）低于对照组（15.00%），止血时间短于对照组，生活质量评分、护理满意度评分均高于对照组(P<0.05)。结论 基于风险评估的针对性护理可降低EMR术后出血风险，全面提升患者生活质量与护理满意度各维度水平，效果良好。

Abstract

Objective To explore the risk factors of postoperative bleeding after endoscopic mucosal resection (EMR) and analyze the effect of targeted nursing measures.
Methods A total of 120 patients who received EMR treatment from January 2024 to June 2025 were selected and randomly divided into a control group (with conventional care) and an observation group (with targeted care based on risk assessment), with 60 cases in each group. The intervention effects were compared.
Results The incidence of postoperative bleeding in the observation group (3.33%) was lower than that in the control group (15.00%), the hemostasis time was shorter than that in the control group, and the quality of life score and nursing satisfaction score were both higher than those in the control group (P<0.05).
Conclusion   Targeted nursing based on risk assessment can reduce the risk of postoperative bleeding after EMR, comprehensively improve the quality of life and nursing satisfaction of patients in all dimensions, and the effect is good.