摘要
目的分析基于4R危机管理理论的护理在急性上消化道出血患者中的应用效果。方法回顾性分析2024年1—9月广东省中医院急诊收治的72例急性上消化道出血患者的临床资料,根据护理方法的不同分为对照组和观察组各36例。对照组给予急诊常规护理,观察组在对照组常规护理基础上给予基于4R危机管理理论的护理。比较两组止血时间、粪便隐血试验转阴时间、心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、再出血率及并发症发生率。结果护理后,观察组止血时间和粪便隐血试验转阴时间均短于对照组;两组HAMA、HAMD评分均低于护理前,且观察组低于对照组;观察组再出血率及并发症总发生率均低于对照组,差异均有统计学意义(P<0.05)。结论基于4R危机管理理论的护理在急性上消化道出血患者中的应用效果较好,能够缩短止血和粪便隐血试验转阴时间,减轻患者焦虑、抑郁等心理,降低再出血率及并发症发生率,改善预后。
Objective To analyze the application effect of nursing intervention based on 4R crisis management theory in patients with acute upper gastrointestinal bleeding.Methods A retrospective analysis was conducted on the clinical data of 72 patients with acute upper gastrointestinal bleeding admitted to the Department of Emergency,Guangdong Provincial Hospital of Traditional Chinese Medicine from January to September 2024.The patients were divided into a control group and an intervention group,each consisting of 36 cases,based on different nursing methods.The control group received routine emergency care,while the intervention group received nursing intervention based on 4R crisis management theory in addition to the care provided to the control group.The hemostasis time,fecal occult blood test negative time,psychological state[Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)],rebleeding rate and complication rate were compared between the two groups.Results After nursing,the hemostasis time and fecal occult blood test negative time in the observation group were shorter than those in the control group;the HAMA and HAMD scores of the two groups were lower than those before nursing,and the observation group was lower than the control group;the rebleeding rate and total incidence of complications in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusions The application effect of nursing intervention based on 4R crisis management theory in patients with acute upper gastrointestinal bleeding is good.It can shorten the hemostasis time and the time for fecal occult blood test to turn negative,alleviate anxiety and depression in patients,reduce the rebleeding rate and complication rate,and improve prognosis.
作者
朱丽娟
郭艳枫
黄财英
ZHU Lijuan;GUO Yanfeng;HUANG Caiying(Department of Emergency,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou,Guangdong 510000,China)
出处
《医药前沿》
2025年第21期123-126,共4页
Journal of Frontiers of Medicine
关键词
急性上消化道出血
4R危机管理理论
护理
止血
粪便隐血试验
心理状态
再出血
并发症
Acute upper gastrointestinal bleeding
4R crisis management theory
Nursing intervention
Hemostasis
Fecal occult blood test
Psychological state
Rebleeding
Complications
