Application of Rockall risk score combined with stratified nursing in acute upper gastrointestinal hemorrhage patients
10.3760/cma.j.issn.1674-2907.2019.11.024
- VernacularTitle:Rockall危险性积分联合分层护理在急性上消化道出血患者中的应用
- Author:
Yiqun YU
1
;
Guochun LOU
Author Information
1. 浙江省淳安县第一人民医院内镜中心
- Keywords:
Nursing care;
Stratified nursing;
Rockall risk score;
Acute upper gastrointestinal hemorrhage
- From:
Chinese Journal of Modern Nursing
2019;25(11):1421-1424
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the application effects of Rockall risk score combined with stratified nursing among acute upper gastrointestinal hemorrhage (AUGH) patients. Methods? From March 2017 to May 2018, we selected 121 AUGH patients at Chun'an First People's Hospital in observation group by convenience sampling method. From January 2016 to February 2017, we selected 109 AUGH patients in control group. Control group carried out routine nursing strategy, while observation group received the nursing model of Rockall risk score combined with stratified nursing. We compared the hemostasis time, hospital stay, rate of re-bleeding, mortality rate, incidence of complication and patient satisfaction with nursing. Results? The hemostasis time and hospital stay of patients in observation group were less than those in control group with statistical differences [(2.52±0.73) d vs. (3.14±0.85) d, P＜ 0.01; (11.97±3.05) d vs. (13.47±3.38) d, P＜ 0.01]. The rate of re-bleeding and incidence of complication of patients in observation group were lower than those in control group with statistical differences [6.61% vs. 19.27%, P＜0.01;13.22% vs. 23.85%, P＜0.01]. There was no statistical difference in the mortality rate between two groups (4.13% vs. 8.26%, P＞ 0.05). Patient satisfaction with nursing professional skill, service attitudes, nursing management, care for patients and health education of observation group were higher than those of control group with statistical differences (P＜0.01). Conclusions? Rockall risk score combined with stratified nursing can effectively shorten the hemostasis time and hospital stay of AUGH patients, and improve patients' clinical outcomes, and help improve the nurse-patient relationship which is worthy of being widely used in clinical application.
