Application of nursing measures based on the Rockall scoring system combined with the SBAR communication model in patients with acute upper gastrointestinal bleeding
10.3760/cma.j.cn115682-20250227-00932
- VernacularTitle:基于Rockall评分系统的护理措施联合SBAR沟通模式在急性上消化道出血患者中的应用研究
- Author:
Yunzhu CHAI
1
;
Rui WANG
1
;
Yaping BAI
1
;
Ting JIAN
1
Author Information
1. 郑州大学第一附属医院消化内科，郑州 450052
- Publication Type:Journal Article
- Keywords:
Gastrointestinal bleeding;
Rockall scoring system;
SBAR communication model;
Nursing intervention
- From:
Chinese Journal of Modern Nursing
2025;31(33):4584-4588
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of nursing measures based on the Rockall scoring system combined with the SBAR communication model in patients with acute upper gastrointestinal bleeding.Methods:A convenience sampling method was used to select 140 patients with acute upper gastrointestinal bleeding admitted to the First Affiliated Hospital of Zhengzhou University from June 2022 to January 2024. The patients were divided into a control group and an observation group, with 70 cases in each. The control group received nursing measures based on the Rockall scoring system, while the observation group received nursing measures based on the Rockall scoring system combined with the SBAR communication model. Treatment compliance, bleeding status, length of hospital stay, psychological state, and self-management behavior scores were compared between the two groups.Results:After intervention, the treatment compliance of the observation group was significantly higher than that of the control group ( P<0.05) . The bleeding cessation time and hospital stay time were shorter in the observation group than in the control group ( P<0.05) . Eight weeks after intervention, the scores of Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the observation group were lower than those in the control group ( P<0.05) . Six months after intervention, the scores of all dimensions and the total score of self-management behaviors in the observation group were significantly higher than those in the control group ( P<0.05) . Conclusions:Nursing interventions based on the Rockall scoring system combined with the SBAR communication model can improve treatment compliance, reduce negative emotions, and enhance self-management ability in patients with acute upper gastrointestinal bleeding.
