Objective To investigate the establishment and application effects of the nursing quality evaluation indexes for infants with gastrointestinal bleeding using target strategic intervention.
Methods A total of 166 infants with gastrointestinal bleeding in department of pediatrics from 2019 to 2021 were prospectively selected as the study subjects. According to the random number table method, the patients were divided into the control group(routine nursing intervention) and observation group(targeted strategic intervention under nursing quality evaluation index) (83 cases in each group). The total effective rate, bleeding stop time, blood transfusion volume, rebleeding rate, hospital stay, levels of hemoglobin(Hb) and hemocytometer(Hct) before and after nursing, parents' bad mood and nursing satisfaction were compared between two groups.
Results The total effective rate of the observation group was higher than that of control group(P<0.05). The bleeding stop time, blood transfusion volume, rebleeding rate and hospital stay in the observation group were lower than those in control group(P<0.05). After 3 days of nursing, the Hb and Hct levels in two groups were higher than those before nursing(P<0.05), and the Hb and Hct levels in the observation group were significantly higher than those in control group(P<0.01). After 3 days of nursing, the SDS and SAS scores in two groups were higher than those before nursing(P<0.05), the SDS and SAS scores in the observation group were significantly lower than those in control group(P<0.01). The nursing quality scores of basic nursing, nursing safety, ward management and nursing document in the observation group were significantly lower than those in control group(P<0.01). The total satisfaction of nursing in the observation group was higher than that in control group(P<0.05). The ROC curve results showed that the ROC, Cut-off value, sensitivity, specificity, positive predictive value, negative predictive value and Jorden index of the four targeted strategic intervention combination of total effective rate of nursing, negative emotion, nursing quality and nursing satisfaction for evaluating the nursing quality of infants with gostrointestinal bleeding were 0.671, 2.003, 1.000, 0.275, 0.525, 1.000 and 0.275, respectively(P<0.05).
Conclusions The target strategic intervention nursing mode can improve the overall treatment efficiency of infant gastrointestinal bleeding, promote the cessation of early bleeding, reduce the rate of secondary bleeding, improve the anemia status, alleviate the bad mood of the parents of children, and improve the satisfaction of nursing care. Therefore, the target strategic intervention nursing mode has obvious advantages in clinical application.
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