首页|分层干预联合饮食指导在急性上消化道出血患者中的应用效果

分层干预联合饮食指导在急性上消化道出血患者中的应用效果

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目的:探讨分层干预联合饮食指导应用于急性上消化道出血的治疗效果.方法:根据随机数字表法将2021年6 月至2022 年6 月在本院接受治疗的82 例急性上消化道出血患者分为对照组(41 例)与联合组(41 例);对照组患者进行饮食指导,联合组在对照组的基础上联合采用分层干预;比较两组患者的自我管理评分、营养指标及预后不良反应情况.结果:3 个月后随访的结果显示,联合组患者的饮食、用药、病情监测、日常生活评分以及总分、血红蛋白(Hb)、转铁蛋白(TRF)、血尿素氮(BUN)水平明显高于对照组(P<0.05);不良反应发生率明显低于对照组(P<0.05).结论:分层干预联合饮食指导应用于急性上消化道出血患者的预后情况较好,可以明显改善患者的营养状况,增强患者的自我管理能力.
Clinical Efficacy of Stratified Intervention Combined with Dietary Counseling in Patients with Acute Upper Gastrointestinal Bleeding
Objective:To investigate the therapeutic effect of stratified intervention combined with dietary counseling in acute upper gastrointestinal bleeding(AUGIB).Method:From June 2021 to June 2022,82 pa-tients with AUGIB treated in our hospital were divided into a control group(41 cases)and a combined group(41 cases)according to a random number table method;the control group received dietary guidance,while the com-bined group received stratified intervention on top of the dietary guidance.Self-management scores,nutritional indices,and incidence of adverse reactions during follow-up were compared between the two groups.Results:Follow-up at three months revealed that the combined group had significantly higher scores in diet,medication use,condition monitoring,daily life activities,total scores,as well as levels of hemoglobin(Hb),transferrin(TRF),and blood urea nitrogen(BUN)compared to the control group(P<0.05).The incidence of adverse reactions was also significantly lower in the combined group(P<0.05).Conclusion:The application of strati-fied intervention combined with dietary counseling in patients with AUGIB shows favorable prognosis,significantly improving patients'nutritional status and enhancing their self-management capabilities.

Acute Upper Gastrointestinal BleedingDietary CounselingStratified InterventionSelf-Management

赵柳青、李薇薇

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商丘市第一人民医院,河南 商丘 476000

急性上消化道出血 饮食指导 分层干预 自我管理

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(2)