EMERGENCY TREATMENT AND NURSING OF UPPER GASTROINTESTINAL BLEEDING IN PATIENTS WITH ADVANCED GASTRIC CANCER

Yang Peng¹, Ling Yang², Lifang Huang³, Qinglei Wang^{4, *} 

¹Department of Second General Internal Medicine, Zengcheng Branch of Nanfang Hospital, Southern Medical University, Southern Medical University, Guangzhou, PR China - ²Department of Gastroenterology, Kaizhou District People's Hospital, Chongqing, PR China - ³Department of Gastroenterology Zengcheng Branch of Nanfang Hospital, Southern Medical University, Guangzhou, PR China - ⁴Department of Digestive Endoscopy Center, Chongqing Three Gorges Central Hospital, Chongqing, PR China

Objective: To analyse the first aid and nursing methods used in patients with upper gastrointestinal haemorrhage from advanced gastric cancer. 

Methods: The study was conducted from June 2018 to June 2019. 80 patients with advanced gastric cancer and massive haemorrhage of their upper digestive tract were analysed retrospectively. They were divided into an observation and a control group, with 40 patients in each group. The control group was subject to traditional nursing, while the observation group was subject to targeted nursing intervention. The two groups were compared in terms of rescue rates, mortality rates, complications, and satisfaction. 

Results: The rescue rate of the observation group was higher and the mortality rate was lower than the control group (P<0.05). The SAS and SDS scores of the two groups were compared before treatment (P>0.05). The SAS and SDS scores of the two groups were significantly lower than before the care (P<0.05). The SAS and SDS scores of the observation group were lower than the control group (P<0.05). The incidence of complications in the observation group was lower than the control group (P<0.05). The nursing satisfaction and SF-36 scores of the observation group were higher than the control group (P <0.05). 

Conclusion: Timely and effective nursing intervention can significantly improve the rescue effect of advanced gastric cancer and upper gastrointestinal haemorrhage, as well as the emotional changes, quality of life, and satisfaction of patients, which is worth popularizing.