责任制整体护理在胰腺炎双套管冲洗引流患者中的应用研究  

Research on application of responsibility holistic nursing to patients treated with double cannula washing drainage

作　　者：沈叶丽 杨黛红 丁建美[1] 洪秀宇 李宁[2] 

机构地区：[1]浙江省安吉县中医院护理部,浙江安吉313300 [2]浙江省中医院外科,浙江杭州315000

出　　处：《中国现代医生》2014年第18期88-91,共4页China Modern Doctor

基　　金：浙江省中医单病种诊疗规范研究计划(2007GA009)

摘　　要：目的探讨责任制整体护理对采用双套管冲洗引流治疗胰腺炎的患者的临床效果。方法选取急性重症胰腺炎患者70例,随机分为两组,对照组患者实施常规护理,观察组患者实施责任制整体护理,记录两组患者引流管放置时间、引流效果、住院时间、并发症发生情况,请患者或家属对护理满意度进行评价。结果观察组患者手术时间、术后冲洗引流时间以及住院时间分别为(49.57±5.82)min、(10.10±1.04)d和(29.14±3.52)d,均明显短于对照组,观察组治愈率为97.44%,明显高于对照组,观察组置管并发症发生率为41.03%,明显少于对照组;观察组患者及家属对护理感到非常满意和满意者分别为53.85%和92.31%,均明显多于对照组,差异具有统计学意义(P<0.05)。结论采用双套管冲洗引流的患者实施责任制整体护理,患者的治疗时间明显缩短,治疗效果明显提高,不良事件发生率降低,患者满意度明显提高,因此该护理模式在临床应用中有积极意义。Objective To observe the clinical effect of applying responsibility holistic nursing to patients treated with double cannula irrigation drainage. Methods Seventy cases with severe acute pancreatitis were selected and divided in-to two groups randomly. The control group received conventional nursing ,and the observation group received responsi-bility holistic nursing. The standing time of drainage tube,drainage effect,length of stay and complications of two groups were recorded. And the nursing satisfaction of patients or family member was evaluated. Results The patients operative time,postoperative irrigation and drainage time and hospital stay were （49.57±5.82） min,（10.10±1.04） d and （29.14±3.52） d, significantly shorter than the control group, the cure rate was 97.44% of observation group, signifi-cantly higher than the control group;in the observation group catheter complication rate was 41.03%, significantly low-er than the control group;observation care patients and their families who were very satisfied and satisfied respectively 53.85%and 92.31%, significantly more than those in the control group. These differences were all statistically signifi-cant （P 〈0.05）. Conclusion Applying double cannula washing drainage to the patients treated with double cannula washing drainage not only can reduce the treatment time and improve the treatment effect , but also can reduce the in-cidence rate of adverse reactions and improve the satisfaction degree of patients. So the nursing mode has great signifi-cance in clinical application.

关 键 词：责任制护理 整体护理 胰腺炎 双套管 

分 类 号：R473.5[医药卫生—护理学]