Application effects of Blatchford risk assessment system combined with grading nursing care in patients with upper gastrointestinal hemorrhage
10.3760/cma.j.issn.1674-2907.2017.35.015
- VernacularTitle:Blatchford风险评分系统联合分级护理在上消化道出血患者中的应用效果
- Author:
Saidan SHAO
1
;
Wangqin ZHANG
;
Xiaojuan QIU
;
Enci LI
Author Information
1. 325000,温州市人民医院消化内科
- Keywords:
Blatchford risk assessment system;
Grading nursing;
Upper gastrointestinal hemorrhage
- From:
Chinese Journal of Modern Nursing
2017;23(35):4494-4497
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effects of Blatchford risk assessment system combined with grading nursing care in patients with upper gastrointestinal hemorrhage (UGIH). Methods A total of 73 UGIH patients who were hospitalized in Wenzhou People's Hospital from June 2016 to January 2017 were collected in this study using convenience sampling. The participants were divided into two groups. The control group (n=34) received routine nursing care while the observation group (n=39) received grading care according to Blatchford risk assessment. The Blatchford risk assessment score was evaluated for the observation group before and after intervention. The re-bleeding rate was compared between the two groups. Results The Blatchford score was significantly lower after 1 week of treatment than the day of admission,and the Blatchford score on the day of discharge was lower than 1 week of treatment and the day of admission (P< 0.05). The re-bleeding rate (5.13%) of the observation group was significantly lower than that (35.29%) of the control group (P<0.05). Conclusions The Blatchford risk score system combined with grading nursing care can effectively reduce the re-bleeding rate in UGIH patients and may reduce the mortality rate and improve the clinical nursing quality.
