目的 探讨链式管理联合急救护理程序在危险性上消化道出血患者急救中的应用。方法 选取2022年1月至2023年6月常州市第二人民医院消化内科收治的84例危险性上消化道出血患者作为研究对象,采用随机数字表法将其分为对照组（42例）和观察组（42例）。对照组患者接受常规护理干预,观察组患者在对照组基础上接受链式管理联合急救护理程序干预。比较两组患者救治效率、治疗效果、结局指标及住院护理满意度。结果 观察组患者静脉通路建立时间、内镜开始检查时间及住院时间均短于对照组,治疗总有效率高于对照组,病死率低于对照组,差异均有统计学意义（P<0.05）;观察组患者自制住院护理满意度调查表各维度评分及总分均高于对照组,差异有统计学意义（P<0.05）。结论 对危险性上消化道出血患者实施链式管理联合急救护理程序干预,可有效提高救治效率和治疗效果,改善结局指标和住院护理满意度。
Abstract
Objective To explore the application of a chain management approach combined with emergency nursing procedures in the emergency treatment of patients with severe upper gastrointestinal bleeding. Methods A total of 84 patients with severe upper gastrointestinal bleeding admitted to the gastroenterology department of Changzhou Second People's Hospital from January 2022 to June 2023 were selected as the study subjects. They were randomly divided into a control group (42 cases) and an observation group (42 cases) using a random number table. Patients in the control group received routine nursing interventions, while those in the observation group additionally received a chain management approach combined with emergency nursing procedures. The efficiency of treatment, treatment outcomes, outcome indicators, and satisfaction with inpatient care were compared between the two groups. Results The time for establishing intravenous access, the time for starting endoscopic examination and the length of hospital stay of the patients in the observation group were all shorter than those in the control group, the total effective rate of treatment in the observation group was higher than that in the control group, and the case fatality rate was lower than that in the control group, the differences were all statistically significant (P < 0.05). The scores of each dimension and the total score of the self-made inpatient nursing satisfaction questionnaire of the patients in the observation group were all higher than those in the control group, the difference was statistically significant (P < 0.05). Conclusion Implementing a chain management approach combined with emergency nursing procedures for patients with severe upper gastrointestinal bleeding can effectively improve treatment efficiency and outcomes, as well as enhance satisfaction with inpatient care.
关键词
危险性上消化道出血 /
链式管理 /
急救护理程序 /
急救
Key words
High-risk upper gastrointestinal bleeding /
Chain management /
Emergency nursing procedures /
Emergency care
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