Objective To analyze the effects of graded emergency care combined with psychological care on the self-care scores

hemostasis time and hospital stay

and negative emotions in patients with acute upper gastrointestinal bleeding（UGIB）. Methods Eighty cases of UGIB patients admitted to a hospital in Nanyang City from June 2019 to June 2021 were selected for the study and divided into a control group and an observation group

40 cases each

using the random number table method. Patients in the control group were given emergency care combined with psychological union

and patients in the observation group were given graded emergency care combined with psychological care

and both groups received continuous care until discharge. The self-care scores

time of hemostasis and length of hospital stay

and improvement of negative emotions [self-rating anxiety scale（SAS） and self-rating depression scale（SDS）] were compared between the 2 groups of patients before and after care. Results Before nursing care

there was no statistically significant difference between the self-care scores of patients in the 2 groups（P>0.05）;after nursing care

the self-care scores of patients in the 2 groups were higher than before nursing care

and higher in the observation group than in the control group

and all differences were statistically significant（P<0.05）.The time of hemostasis and hospital stay were shorter in the observation group than in the control group

and the differences were statistically significant（P<0.05）.Before nursing care

there was no statistically significant difference between the SAS and SDS scores of patients in the 2 groups（P>0.05）;after nursing care

the SAS and SDS scores of patients in the 2 groups were lower than before nursing care

and the observation group was lower than the control group

with were statistically significant differences（P<0.05）.Conclusion Graded emergency care combined with psychological care can effectively improve the self-care level of UGIB patients

shorten the rescue and recovery time

and improve negative emotions

which is worth promoting in clinical practice.