Gastrointestinal bleeding in patients with clinical care discussion

[Abstract] Objective: To study and analyze the gastrointestinal bleeding and efficacy of new methods of care, finding care for gastrointestinal bleeding, the optimal solution. Methods: Analysis of a return visit to our hospital from May 2008 to May 2011 cured 124 patients with gastrointestinal bleeding in patients with clinical nursing experience and new methods of care, the first patients were divided into two groups, one group using the new methods of care, another group using the traditional methods of care, and then compare the two sets of clinical data, the final statistics Analysis Results: New methods of care significantly reduced the mortality of patients with gastrointestinal bleeding, and effectively avoid further bleeding and reduce the incidence of complications, shorter treatment time. Conclusion: New methods of care for gastrointestinal bleeding patients more effective treatment than traditional care methods to save time, but also by the majority of patients welcome.

[Keywords:] gastrointestinal bleeding, nursing; efficacy, mortality, compared

Gastrointestinal bleeding is a very common disease disease disease, the incidence in recent years than the previous upward trend in the performance of different causes in different circumstances, some patients with less blood loss, blood in the stool and other clinical symptoms only, patients are often ignored, due to anemia treatment. Places some patients sudden vomiting, blood in the stool and emergency admission, this patient ferocious, large amount of bleeding can easily lead to shock, severe life-threatening if not treated very well may cause re-bleeding of care, not only to increase the economic burden of patients, but also to patients with serious heart damage, therefore, gastrointestinal bleeding in clinical care in the treatment plays a vital role in selection of good patient care and measures to promote early recovery, reduce complications, improve the cure rate of the central link.

1 Materials and Methods
1.1 Source: April 2008 to May 2011 were cured in our hospital 124 cases of gastrointestinal bleeding. Aged roughly 2475 years old, men accounted for the vast majority, 92 patients male, female in 32 patients, average age 35 years old, according to the causes can be divided into the following categories: 12 patients with cirrhosis, 30 cases of acute gastric mucosal bleeding, peptic ulcer 54 cases of rectal cancer in 28 cases, the first of these patients were divided into two groups, one group is using new methods of care, as the observation group; a group using traditional methods, as the control group by comparing the data with better statistical methods to appraisal of a group.

1.2 Statistical analysis: two practical nursing record relevant data, using a group t test method, SPSS13.0 software for statistical analysis, data analysis, if P <0,05, then the differences are significant, indicating that more research, according to statistically significant.

2 Observation and nursing care
2.1 General care and observation: First, to measure patient vital signs, according to the disease to develop appropriate care plans for large amount of bleeding, critically ill patients, intravenous access should be established quickly, to add volume. Immediate blood routine, blood type and cross matching of blood, blood transfusion, as the case while testing the urine, stool its color, quantity, quality analysis, asked in detail about the patient's adverse reaction, shock, the patient will feel dizzy, cold sweats, whole body weakness and other symptoms, if an exception to tell the doctor in time, change the program, re-diagnosis to find the disease. For patients with hematemesis should take in the semi-supine, head to one side to prevent vomiting caused by suffocation. diet, for large amount of bleeding patients should be fasting, after eating some of the low-temperature liquid according to the disease or semi-liquid food, can not eat spicy food, sour, spicy food taboos. New gastrointestinal nursing care in the tradition of the original based on the added mental Health care and guidance, as follows:
2.1 Psychological care: the good primary care, while nursing staff to strengthen the patient's psychological care, patients with a good attitude to active treatment with a doctor, the best way to restore to the best To do the psychological care, The first requires nurses to have a good attitude, the first time to care for patients, comforting patients, allow patients to feel like you are his family, listening attentively to tell patients to actively reassure the patient, the patient will have their own rehabilitation in doubt, the lack of cure confidence, the negative face of the situation there. nurses to be patient with the best attitude, speech technology and skilled care to treat, so patients can see the action from your hope, sense of security, to eliminate the psychological fear, with positive attitude towards treatment.

2.2 Health guidance: nurses to maximize the knowledge of the disease, care and precautions introduced to the families and patients, as much as possible so that patients and their families about treatment and care of the whole process, easy to coordinate medical treatment, tell the patient how to recognize early symptoms and how to take emergency measures. to enable patients to understand the incentives from the illness, reasonable precautions, strengthen self-protection awareness, so that to reduce the incidence of re-bleeding patients, to guide patients to learn self-psychological adjustment, with an optimistic attitude towards the disease. Share on free download http://www.hi138.com 3 results
Observation group in the following six areas etc higher rate of satisfaction, a significant advantage, but also according to the results of statistical analysis p = 0.032 <0.05 in line with the principle differences, statistically significant for the study, two groups The efficiency, length of stay, re-bleeding rates, patient satisfaction, p values ​​are made more specific data in Table 1

4 Discussion
Surgical bleeding is a common digestive disease, and some of its ferocious, blood volume and difficult to control and so on. If not timely rescue and easily lead to hemorrhagic shock, severe life-threatening. Effective and timely treatment is important, new clinical care measures to improve the effectiveness, the key to reducing re-bleeding. a new type of gastrointestinal bleeding nursing care based on the traditional method above, adding guidance and mental Health care, the focus shifted to play to their potential patients, to restore the confidence of the patient, for patients with positive psychological initiative to cooperate with medical treatment, after discharge self-care and prevent re-bleeding, etc. to improve the efficacy of the treatment of gastrointestinal bleeding, shorter hospital stay for patients to reduce the economic pressure, while saving the resources of the hospital .

Based on national information and research hospital data, confirmed the clinical care of new methods of gastrointestinal bleeding than traditional methods of care and the effect was significantly more effective in the treatment of this disease is currently the best method.

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