首页|基于Rockall危险性积分的护理干预结合问题解决模式对消化内镜下治疗消化道出血患者恐惧情绪及止血效果的影响

基于Rockall危险性积分的护理干预结合问题解决模式对消化内镜下治疗消化道出血患者恐惧情绪及止血效果的影响

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目的 探究基于Rockall危险性积分的护理干预结合问题解决模式用于消化内镜下治疗消化道出血患者护理中的效果。方法 选择2021 年 8 月至 2022 年 8 月收治的 200 例消化内镜下治疗消化道出血患者作为研究对象,以随机数字表法将其分为对照组和观察组,每组100 例。对照组接受常规护理,观察组在对照组基础上加施基于Rockall危险性积分的护理干预结合问题解决模式。比较两组的干预效果。结果 干预后,观察组的恐惧视觉模拟评分法(FAVS)、恐惧疾病进展简化量表(FoP-Q-SF)评分均低于对照组(P<0。05)。观察组的止血时间、大便隐血转阴时间、住院时间短于对照组,再出血率低于对照组(P<0。05)。干预后,观察组的世界卫生组织生活质量测定量表简表(WHOQOL-BREF)、纽卡斯尔护理服务满意度量表(NSNS)评分均高于对照组(P<0。05)。结论 基于Rockall危险性积分的护理干预结合问题解决模式用于消化内镜下治疗消化道出血患者的护理中,可缓解其恐惧情绪,提高止血效果,降低再出血率,同时还有助于生活质量及护理满意度的提升。
Effects of nursing intervention based on Rockall risk score combined with problem solving model on fear and hemostatic effect of patients with gastrointestinal bleeding treated by digestive endoscopy
Objective To explore the effects of nursing intervention based on Rockall risk score combined with problem solving mode in the nursing of patients with gastrointestinal bleeding treated by digestive endoscopy.Methods A total of 200 patients with gastrointestinal bleeding treated by digestive endoscopy admitted from August 2021 to August 2022 were selected as the study objects.The patients were divided into control group and observation group by random number table method,with 100 cases in each group.The control group received routine nursing,while the observation group received nursing intervention based on Rockall risk score combined with problem solving model on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of Fear Visual Analogue Scale(FAVS)and Fear of Progression Questionnaire-Short Form(FoP-Q-SF)in the observation group were lower than those in the control group(P<0.05).The hemostasis time,fecal occult blood negative conversion time and hospitalization time of the observation group were shorter than those of the control group,and the rebleeding rate was lower than that of the control group(P<0.05).After intervention,the scores of the World Health Organization Quality of Life Brief Questionnaire(WHOQOL-BREF)and Newcastle Satisfaction with Nursing Scale(NSNS)in the observation group were higher than those in the control group(P<0.05).Conclusion The nursing intervention based on Rockall risk score combined with problem solving model for the nursing of patients with gastrointestinal bleeding treated by digestive endoscopy can alleviate fear,improve the hemostatic effect,reduce the rebleeding rate,and also help to elevate the quality of life and nursing satisfaction.

Rockall risk scoreproblem solving modelgastrointestinal bleedingdigestive endoscopyfearhemostatic effect

桂英、陈丹

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西安医学院第二附属医院消化内科,陕西 西安,710038

汉中市南郑区人民医院消化内科,陕西 汉中,723100

Rockall危险性积分 问题解决模式 消化道出血 消化内镜 恐惧情绪 止血效果

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(27)