Application of Graded Nursing Guided by Glasgow Brachford Scoring System in Patients Undergoing Upper Gastrointestinal Bleeding Surgery

Ji Senteng; Li Yafang

doi:10.3969/j.issn.1004-5775.2026.04.030

Abstract：Objective:Observation of the application effects of graded nursing guided by Glasgow Bradford Scale(GBS)on patients undergoing upper gastrointestinal bleeding surgery.Methods:A total of 120 patients with upper gastrointestinal bleeding admitted to the First People's Hospital of Shangqiu from January 2022 to January 2024 were selected as the study subjects,and divided into the conventional group and GBS group,with 60 cases in each group.The patients in the conventional group were given peroperative care,while the GBS patients were given Graded Nursing Guided by GBS.The hemostasis status,psychological state,occurrence of adverse outcomes,and nursing satisfaction between the two groups of patients were compared.Results:Compared with the conventional group,the hemostasis time,rebleeding rate,and hospitalization time of the GBS group were lower,and the difference was statistically significant(P＜0.05).The General Self-Efficacy Scale(GSES)and Connor Davidson resilience scale(CD-RISC)scores of the GBS group were higher than those of the conventional group,and the Patient Health Questionnaire-9(PHQ-9)and Generalized Anxiety Scale(GAD-7)were lower than those of the conventional group,and the difference was statistically significant(P＜0.05).During the follow-up period,the total incidence of adverse prognosis in the GBS group was lower than that of the conventional group,and the difference was statistically significant(P＜0.05).After the follow up,the nursing skill score,nursing attitude score,accident handling score,communication ability score,and overall satisfaction score of the GBS group were higher than those of the conventional group,and the differences were statistically significant(P＜0.05).Conclusion:Graded nursing under GBS guidance can enhance the hemostatic effect of patients with upper gastrointestinal bleeding,improve their psychological state,reduce the risk of adverse prognosis,and increase nursing satisfaction,all of which have positive significance.