Effect of Predictive Nursing Guided by Risk Factor Assessment on Hemostasis Time,Complications and Bleeding Times in Patients with Upper Gastrointestinal Bleeding
Objective To study the effect of predictive nursing guided by risk factor assessment on hemostasis time,complications and bleeding times in the nursing of patients with upper gastrointestinal bleeding.Methods A total of 74 patients with upper gastrointestinal bleeding diagnosed and treated in our hospital from March 2020 to March 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 37 patients in each group.The control group was given routine nursing,and the observation group was given predictive nursing intervention guided by risk factor assessment on the basis of the control group.The hemostasis time,bleeding frequency,hospitalization time,complication rate,stress index,quality of life and nursing satisfaction were compared between the two groups.Results The hemostasis time,bleeding times and hospitalization time of the observation group were less than those of the control group(P<0.05).The incidence of complications in the observation group was 5.41%,which was lower than 16.22%in the control group(P<0.05).After nursing,the levels of adrenaline,norepinephrine and plasma cortisol in the two groups were lower than those before nursing,and those in the observation group were lower than those in the control group(P<0.05).The quality of life scores of the two groups after nursing were higher than those before nursing,and the observation group was higher than the control group(P<0.05).The nursing satisfaction of the observation group was 94.59%,which was higher than 86.49%of the control group(P<0.05).Conclusion The application of predictive nursing intervention guided by risk factor assessment in patients with upper gastrointestinal bleeding can shorten the hemostasis time,reduce the number of bleeding,reduce the incidence of complications,improve nursing satisfaction,reduce stress response,and promote the improvement of patients'quality of life.It has a definite application nursing effect.