The Study Of Clinical Nursing Pathways Of Acute Upper Gastrointestinal Bleeding Combined With Traditional Chinese Medicine And Western Medicine

Objectivewe analyzed the current status of green channel management of acute upper gastrointestinal hemorrhage and conduct article research in hospital,And the development of clinical nursing path of Integrative Medicine on acute upper gastrointestinal bleeding based.On the initial formation of acute Chinese and Western medicine combined with acute upper gastrointestinal bleeding clinical nursing path for Delphi expert consultation.Explore evidence-based medicine,and emergency care medicine characteristics on acute care to one of the upper gastrointestinal bleeding TCM clinical nursing pathway program.Providing acute upper gastrointestinal bleeding in patients with standardized care basis and reference,to play the advantages of Chinese medicine care in the emergency department,the application of integrative medicine care in the emergency path to improve nursing practice,emergency patients to meet specifications,high quality,efficient care Quality requirements,improve the efficiency of rescue and rescue results rate.MethodsThis study through the Guangdong Provincial Hospital of emergency department of the current review of the green channel and the relevant acute upper gastrointestinal bleeding combined with traditional Chinese medicine research literature.Summary of commonly used Chinese and Western medicine combined care operation project,Combined with the application of our hospital emergency department status quo.Analyze and determine the basic framework of the care path and the content and time to implement the basic care operations.The initial formation of acute Chinese and Western medicine combined with acute upper gastrointestinal bleeding clinical nursing path of the text content of the hospital experts pre-investigation,and then two rounds of Delphi expert advice on the care of the path to set the rationality of the content of the practical and feasible Sexual critical screening.By the research team to conduct expert analysis of the results of the analysis and discussion,and ultimately the unity of expert advice.At the same time to participate in the investigation of the reliability of experts and experts to test the authority.ResultsThrough the retrospective analysis of 100 cases and the results of literature retrieval,combined with the status quo of our hospital emergency department,the initial formation of acute upper gastroin-testinal bleeding clinical nursing path expert consultation content.Including 3 time periods,52 specific care operations.In the first round of the Delphi Expert Information Questionnaire,a total of five items were deleted,12 were revised,7 were added and 2 were retained.The experts suggested that the second round of the expert consultation questionnaire was agreed by the experts.Eventually formed a total of three stages,a total of 68 specific care operation items.The average authority of the expert consultation is 0.86,and the confidence level of the expert authority is better.ConclusionsFrom the expert's enthusiasm,the degree of authority,and other content analysis,the results of two rounds of expert consultation reliability is strong,screening the formation of clinical care path for acute upper gastrointestinal bleeding patients with Chinese and Western medicine to provide a reference basis.At the same time Delphi(Delphi)method in the clinical practice of Chinese and Western medicine care path has a certain scientific and operable,is a kind of objectivity,authoritative,practical and operational research methodology.