Clinical Research
Application of multidisciplinary collaborative nursing model for upper gastrointestinal hemorrhage in patients with liver cirrhosis
Ting Zhao, Quanchun Li, Xiao Song, Li Luo
Published 2019-06-16
Cite as Chin J Mod Nurs, 2019, 25(17): 2184-2187. DOI: 10.3760/cma.j.issn.1674-2907.2019.17.017
Abstract
ObjectiveTo explore the effects of multidisciplinary collaborative nursing model in upper gastrointestinal bleeding (UGB) caused by esophageal and gastric variceal bleeding (EGVB) in patients with cirrhosis.
MethodsBy purposive sampling, a total of 71 cirrhosis patients with UGB caused by EGVB admitted from January to December 2017 in Department of Gastroenterology, Dazhou Hospital of Integrated Traditional Chinese and Western Medicine in Sichuan Province were selected and assigned into the observation group, and 68 cirrhosis patients with UGB caused by EGVB admitted from January to December of 2016 were put into the control group. Both groups had successfully stopped bleeding by endoscopic varicose vein ligation. In the control group, the traditional nursing management model was adopted post surgery. While in the observation group, the multidisciplinary collaborative nursing model was adopted after surgery for six months. The two groups were compared in terms of the rate of self-management compliance, scores of General Self-Efficacy Scale (GSES) , rate of rebleeding and change of mortality.
ResultsThe observation group was higher than the control group in the self-management compliance of diet control, life behavior regulation, correct medication and nutrition control with statistical differences (P<0.05) . Before discharge, the two groups were compared in the scores of GSES with no statistical difference (P>0.05) ; six months after discharge, the observation group achieved higher score in GSES than the control group with statistical significance (P<0.05) . The rate of rebleeding in the observation group was significantly lower than the control group with statistical difference (P<0.05) . There was no statistical difference in the mortality rate between the two groups (P>0.05) .
ConclusionsMultidisciplinary collaborative nursing model can effectively improve the self-management compliance of cirrhosis patients with UGB caused by EGVB, improve the patients' sense of self-efficacy, and reduce the rate of re-bleeding.
Key words:
Liver cirrhosis; Upper gastrointestinal bleeding; Multidisciplinary cooperation; Self-management; Self-efficacy
Contributor Information
Ting Zhao
Department of Gastroenterology, Dazhou Hospital of Integrated Traditional Chinese and Western Medicine, Sichuan Province, Dazhou 635000, China
Quanchun Li
Xiao Song
Li Luo
