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《Journal of Bethune Medical Science》 2016-01
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Application of Glasgow-Blatchford score in evaluating the risk of rebleeding among patients with upper gastrointestinal hemorrhage

LI Lianhua;MENG Fanqi;PAN Peiyu;Intermedicine Department,People’s hosipital of Lechang,Guangdong;  
Objective To study the application of Glasgow-Blatchford score( GBS) in the evaluating the risk of rebleeding among patients with upper gastrointestinal hemorrhage after admission. Methods Ninty cases of patients with upper gastrointestinal hemorrhage in our hospital were selected. Patients were divided into the intervention group( n = 45) and the control group( n = 45).There was no rating scale used in the control group with routine nursing. The intervention group were given risk grading nursing according to the results of GBS score after evaluation of the risk of rebleeding in patients after admission. The rates of rebleeding and mortality in half a year were compared between the two groups. The blood urea nitrogen and hemoglobin levels and GBS scores were compared.Nursing satisfaction was also compared between the two groups. Results The rate of rebleeding in the intervention group was significantly lower than that in the control group( P 0. 05). There was no significant difference in mortality rate between the two groups( P 0. 05). The blood urea nitrogen level in the intervention group after nursing decreased significantly were significantly lower than those in the control group( P 0. 05). Hemoglobin level increased significantly and was significantly higher than that in the control group( P 0. 05). the GBS scores were decreased significantly after reiceved nursing care. The nursing satisfaction rate in the intervention group( 97. 79%) was significantly higher than that in the control group( 88. 89%)( P 0. 05). Conclusions The risk of rebleeding in patients with upper gastrointestinal hemorrhage is evaluated according to GBS score. The implementation of risk grading nursing care can reduce the rate of rebleeding and mortality and increase nursing satisfaction.
【CateGory Index】: R573.2
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