基于循证医学的系统化干预在消化道出血患者内镜治疗中的应用效果
Application Effect of Systematic Intervention Based on Evidence-Based Medicine in Endoscopic Treatment of Patients with Gastrointestinal Bleeding
郭浩浩 1王璐璐 1胡捷 1刘凌云1
作者信息
- 1. 郑州大学第一附属医院消化内科,郑州 450000
- 折叠
摘要
目的:探讨基于循证医学的系统化干预在消化道出血患者内镜治疗中的应用效果.方法:选取 2020 年 2月至 2023 年 2 月本院收治的 104 例消化道出血患者为研究对象.按照随机数字表法,将其分为观察组(n=52,采取基于循证医学的系统化干预)和对照组(n=52,采取系统化干预).比较两组患者治疗情况、心理状态、护理满意度以及并发症发生情况.结果:两组患者止血成功率比较,差异无统计学意义(P＞0.05),观察组患者住院时间短于对照组,康复知识掌握得分高于对照组高,72h后再出血率低于对照组,差异均有统计学意义(P＜0.05);干预后,观察组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,差异均有统计学意义(P＜0.05);观察组患者护理总满意度高于对照组,差异有统计学意义(P＜0.05);观察组患者并发症总发生率低于对照组,差异有统计学意义(P＜0.05).结论:基于循证医学的系统化干预能缩短消化道出血患者的住院时间,在降低患者 72h后再出血率及术后并发症发生风险中有积极作用,值得临床推广.
Abstract
Objective:To explore the effect of systematic intervention based on evidence-based medicine in endoscopic treatment of patients with gastrointestinal bleeding.Methods:A total of 104 patients with gastrointestinal bleeding admitted to our hospital from February 2020 to February 2023 were selected as research objects.They were randomly divided into observation group(n=52,received systematic intervention based on evidence-based medicine)and control group(n=52,received systematic intervention).The treatment,psychological state,nursing satisfaction and complications of the two groups were compared.Results:There was no difference in the success rate of hemostasis between the two groups(P＞0.05).Hospitalization time of observation group was shorter than that of control group,the score of rehabilitation knowledge of observation group was higher than that of control group,and the re-bleeding rate after 72 hours of observation group was lower than that of the control group,and the differences were statistically significant(P＜0.05).After intervention,the self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score in observation group were lower than those in control group,and the differences were statistically significant(P＜0.05).The total nursing satisfaction of observation group was higher than that of control group,and the difference was statistically significant(P＜0.05).The total incidence of complications in observation group was lower than that in control group,and the difference was statistically significant(P＜0.05).Conclusion:Systematic intervention based on evidence-based medicine can shorten the length of hospital time in patients with gastrointestinal bleeding,and has a positive effect in reducing the re-bleeding rate after 72 hours and the risk of postoperative complications,which is worthy of clinical promotion.
关键词
循证医学/系统化干预/消化道出血/内镜治疗/并发症Key words
Evidence-based medicine/Systematic intervention/Gastrointestinal bleeding/Endoscopic treatment/Complications引用本文复制引用
出版年
2024
NETL
NSTL
万方数据