Assessment On The Re-bleeding Risk Among The Patients With Acute Non-variceal Upper Gastrointestinal And The Effect On Clinical Classification Nursing Interference

Objectives:1. To assess the re-bleeding risk among the patients with acute non-variceal upper gastrointestinal;2. To assess the effect of clinical classification nursing interference;Methods:An survey of inpatients, of Department of Gastroenterology of the Second Xiangya Hospital of Central South University from2012January to2013December, was made among114cases with acute non-variceal upper gastrointestinal bleeding, assessing the re-bleeding risk of every patients with Blatchford risk score system, and treating the patients whose Blatchford risk scores are under than six as the low risk group and the Blatchford risk scores are greater than six as the middle or high risk group. Taking53patients collected from2012January to2012December as the control group which takes routine nursing; taking61patients collected from2013January to2013December as the intervention group which takes clinical classification nursing interference depending on different Blatchford risk scores. Assess the differences of the patients’ blood urea nitrogen, hemoglobin, the Blatchford risk score and the rate of re-bleeding by the statistical analysis methods of chi-square test.Results:1.61patients in nursing intervention group,49man (80.33%),12women (19.67%), average age was53.34±13.29;53patients in control group,42(79.25%),11women(20.75%), average age was55.36±15.72. The basic demographic data, basic data, the situation of diseases, the situation of laboratory tests and the Blatchford risk scores between the control group and the nursing intervention group were not statistically significant(P>0.05);2.These parameters in pre-intervention, between the nursing intervention group and the control group, including the patients’blood urea nitrogen, hemoglobin and the Blatchford risk score, were no statistically significant(P>0.05);3.In nursing intervention group, these parameters in pre-intervention and post-intervention, including the patients’ blood urea nitrogen, hemoglobin, Blatchford risk score, were statistically significant(p<0.05), the rate of unusual blood urea nitrogen, hemoglobin lower than100g/L in men or women and the Blatchford risk score greater than6before interference were higher than its after interference;4.In control group, these parameters in pre-intervention and post-intervention, including the patients’blood urea nitrogen, hemoglobin, Blatchford risk score, were no statistically significant (p>0.05);5.These parameters, between the nursing intervention group and the control group in post-interference, including the patients’blood urea nitrogen, hemoglobin, Blatchford risk score, were statistically significant (p<0.05), the rate of unusual blood urea nitrogen, hemoglobin lower than100g/L in men or women, the Blatchford risk score greater than6in nursing intervention group in post-interference were lower than its in control group in post-interference; the rate of re-bleeding in nursing intervention was significantly lower than its in control group(P<0.05).Conclusions:1. In nursing intervention group, the rate of unusual blood urea nitrogen, hemoglobin lower than100g/L in men or women and the Blatchford risk score greater than6in pre-intervention were higher than its in post-interference;2. The rate of unusual blood urea nitrogen, hemoglobin lower than100g/L in men or women and the Blatchford risk score greater than6in nursing intervention group in post-interference were lower than its in control group in post-interference;3. The rate of re-bleeding in nursing intervention was significantly lower than its in control group;4. It is feasible for classification nursing interference, and provides reliable evidence for clinical management.