To compare the effects of different emergency nursing methods in endoscopic treatment of patients with acute upper gastrointestinal bleeding.

A total of100 patients with acute upper gastrointestinal bleeding admitted to the Fifth Hospital of Huangshi City from January 2022 to December 2024 were selected; there were 55 males and 45 females, the age ranged from 27 to 65 years old, with an average of (46.03±10.23) years. They were randomly divided into an observation group and a control group, with 50 patients in each group, using a random number table. The control group received routine perioperative care, while the observation group received perioperative dual track emergency care, both of which continued until the patient was discharged. The hemostatic outcomes (immediate hemostasis success, rebleeding within 72 hours, and conversion to surgical intervention) were compared between the two groups, and the changes in self-rating depression scale (SDS), self-rating anxiety scale (SAS), hemoglobin (Hb), albumin (ALB), and prealbumin (PA) before endoscopic treatment and discharge, as well as the length of hospital stay, hospitalization costs, and nursing satisfaction were compared.

The observation group had a rebleeding rate within 72 hours of 2.00%, which was lower than the control group's 14.00% (P<0.05). At discharge, the SDS and SAS scores of the observation group were (36.04±3.51) points and (37.46±4.02) points, both of which were lower than those of the control group (40.27±3.92) points and (41.85±4.15) points (P<0.05). At discharge, the Hb, ALB, and PA levels in the observation group were (128.32±15.23) g/L, (40.11±3.52) g/L, and (225.69±15.32) mg/L, all higher than those in the control group (121.57±11.05) g/L, (36.87±3.20) g/L, and (213.25±13.07) mg/L (P<0.05). The hospitalization time and hospitalization expenses of the observation group were (6.35±1.83) days and (0.86±0.09) yuan, both of which were shorter/less than those of the control group (7.60±1.24) days and (0.92±0.13) yuan (P<0.05). The overall satisfactory rate of the observation group with nursing care was 94.00%, which was higher than the control group's 78.00% (P<0.05).

Perioperative dual track emergency nursing can help reduce the rebleeding rate of patients with acute upper gastrointestinal bleeding undergoing endoscopic treatment, alleviate negative emotions, and improve nutritional status. It is worthy of clinical promotion.