Application of multidisciplinary collaborative nursing model for upper gastrointestinal hemorrhage in patients with liver cirrhosis

Abstract

Objective To 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. Methods By 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. Results The 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) ; six months after discharge, the observation group achieved higher score in GSES than the control group with statistical significance (P 0.05) . Conclusions Multidisciplinary 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