Application of Structured Programs Based on the Lewin's Conservation Model in Patients with Non-variceal Upper Gastrointestinal Bleeding
Abstract：Objective: To explore the application effect of a structured program based on the Lewin's conservation model in patients with non-variceal upper gastrointestinal bleeding. Methods: A total of 140 patients with non-variceal upper gastrointestinal bleeding admitted to the Department of Gastroenterology, Tongji Hospital, Huazhong University of Science and Technology from January to December 2023 were enrolled as study subjects. The first 70 patients from January to June 2023 were set as the control group, and the next 70 patients from July to December 2023 were set as the experimental group. The control group received routine nursing care, while the experimental group received a structured program based on the Lewin's conservation model. The rebleeding risk, readmission rate, and incidence of complications between the two groups were compared. Results: After the intervention, the rebleeding risk score of the experimental group was lower than that of the control group, and the readmission rate was also lower (P < 0.05). The incidence of complications in the experimental group was significantly lower than that in the control group (P < 0.05). Conclusion: The structured nursing program based on the Lewin's conservation model significantly reduced the rebleeding and readmission rates, as well as the risk of complications in patients with non-variceal upper gastrointestinal bleeding through comprehensive, multi-stage interventions.
Keywords：Lewin conservation patternstructured protocolnon-variceal upper gastrointestinal bleedingrebleedingreadmission rate
Publication Date：2025-08-15
Online Publishing Date：2025-08-25(First online date of this platform, not the publication date of the document)
Pages：4( 2894-2897 )