摘要
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 Glasgow-Blatchford score（ GBS） in the evaluating the risk of rebleeding among patients with upper gastrointestinal hemorrhage after admission. Methods Ninty cases of patients with upper gastrointestinal hemorrhage in our hospital were selected. Patients were divided into the intervention group（ n = 45） and the control group（ n = 45）.There was no rating scale used in the control group with routine nursing. The intervention group were given risk grading nursing according to the results of GBS score after evaluation of the risk of rebleeding in patients after admission. The rates of rebleeding and mortality in half a year were compared between the two groups. The blood urea nitrogen and hemoglobin levels and GBS scores were compared.Nursing satisfaction was also compared between the two groups. Results The rate of rebleeding in the intervention group was significantly lower than that in the control group（ P 〈 0. 05）. There was no significant difference in mortality rate between the two groups（ P〉 0. 05）. The blood urea nitrogen level in the intervention group after nursing decreased significantly were significantly lower than those in the control group（ P 〈 0. 05）. Hemoglobin level increased significantly and was significantly higher than that in the control group（ P 〈 0. 05）. the GBS scores were decreased significantly after reiceved nursing care. The nursing satisfaction rate in the intervention group（ 97. 79%） was significantly higher than that in the control group（ 88. 89%）（ P 〉 0. 05）. Conclusions The risk of rebleeding in patients with upper gastrointestinal hemorrhage is evaluated according to GBS score. The implementation of risk grading nursing care can reduce the rate of rebleeding and mortality and increase nursing satisfaction.
出处
《白求恩医学杂志》
2016年第1期20-23,共4页
Journal of Bethune Medical Science
关键词
GBS评分
上消化出血
危险性分级护理
Glasgow-Blatchford score
Upper gastrointestinal system bleeding
Risk Grading nursing
