APACHE Ⅲ在老年急性腹膜炎手术患者护理中的应用  

Application of APACHE Ⅲ in the Nursing Care for Surgical Elderly Patients with Acute Peritonitis

作　　者：乐革芬[1] 章凌华[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院急症外科,湖北武汉430022

出　　处：《护理学杂志》2007年第6期23-25,共3页

基　　金：华中科技大学同济医学院附属协和医院基金项目(2006-50)

摘　　要：目的探讨APACHEⅢ对老年急性腹膜炎手术患者护理干预的指导意义。方法将110例老年急性腹膜炎患者随机分为观察组（66例）和对照组（44例），于入院时及手术后每天行APACHEⅢ评分；对照组行常规护理，观察组根据入院评分分层实施护理干预，并根据术后评分及时调整护理措施。结果观察组并发症发生率、病死率及住院时间显著低于或少于对照组（均P〈0．05），其中评分41～100分患者效果最为显著（P〈0．05）；护士满意度及患者满意度观察组显著高于对照组（均P〈0．05）。结论APAcHEⅢ用于老年患者急性腹膜炎手术危险性评估，对采取合理有效的护理干预措施有指导意义。Objective To evaluate the effect of APACHEⅢ in the guidance to the nursing care for surgical elderly patients with acute peritonitis. Methods One hundred and ten patients with acute peritonitis were randomly divided into an observation group （n=66） and a control group （n=44）. They were given scores according to the APACHEⅢ scoring system at admission and after operation. The patients in the control group were given routine nursing care and patients in the observation group were given nursing care according to the scores at admission and the nursing care measures were adjusted according to the postoperative scores. Results The rate of complications, mortality and hospital stay time in the observation group were significantly lower than those in the control group （P〈0.05 for all） and this was especially true in patients with APACHEⅢ sores ranging from 41 to 100（P〈0.05）. The satisfaction of both nurses and patients was higher than that in the control group （P〈0.05 for all）. Conclusion The APACHEⅢ is useful in the risk evaluation for operation of the surgical elderly patients with peritonitis and can provide guidance for effective nursing care.

关 键 词：腹膜炎 老年人 外科手术 急性生理改变及慢性健康评估综合评分系统Ⅲ 护理干预 

分 类 号：R473.6[医药卫生—护理学]