Exploring the application value of risk assessment-oriented nursing intervention in gastrointestinal bleeding
探讨以危险评估为导向的护理干预在消化道出血中的应用价值

摘要

目的 本文旨在探讨以危险评估为导向的护理干预在消化道出血患者中的应用效果及临床价值。方法 选取2025年1-12月本院110例消化道出血患者，对照组行常规护理，观察组在常规护理基础上采用以危险评估为导向的护理干预，对比两组的临床应用效果。结果 观察组7 d再出血率（3.64%）、并发症发生率（7.27%）显著低于对照组（16.36%、25.45%）；止血时间[（35.46±7.87）h]、住院天数[（6.96±1.25）d]显著短于对照组[（42.46±10.05）h、（10.45±1.19）d]；护理后汉密顿焦虑量表（HAMA）、疾病不确定感量表（MUIS）评分显著低于对照组，护理满意度显著高于对照组，P＜0.05，组间存在统计学差异。结论 危险评估导向护理可降低消化道出血患者再出血风险，缩短康复周期，改善心理状态，提高护理满意度，值得推广。

Abstract

Objective This study aimed to investigate the application effect and clinical value of risk assessment-oriented nursing intervention in patients with gastrointestinal bleeding.
Methods A total of 110 patients with gastrointestinal bleeding admitted to our hospital from January to December 2025 were selected. The control group received routine nursing care, while the observation group received risk assessment-oriented nursing intervention in addition to routine care. The clinical outcomes of the two groups were compared.
Results The 7-day rebleeding rate (3.64%) and complication rate (7.27%) in the observation group were significantly lower than those in the control group (16.36% and 25.45%, respectively). The hemostasis time [(35.46±7.87) h] and hospitalization days [(6.96±1.25) d] were significantly shorter than those in the control group [(42.46±10.05) h and (10.45±1.19) d]. Post-intervention Hamilton Anxiety Scale (HAMA), Mishel Uncertainty in Illness Scale (MUIS) scores were significantly lower in the observation group, and nursing satisfaction was significantly higher (P<0.05). There were statistically significant differences between the groups.
Conclusion   Risk assessment-oriented nursing can reduce the risk of rebleeding in patients with gastrointestinal bleeding, shorten the recovery period, improve psychological status, and enhance nursing satisfaction, making it worthy of promotion.