临床路径联合心理护理对非手术治疗急性胰腺炎患者的护理效果分析  

Analysis Nursing Effect of Clinical Pathway Combined With Psychological Nursing of Non-surgical Therapy in Patients With Acute Pancreatitis

作　　者：李宗英[1] 卓薇薇[1] 孟敏[1] 

机构地区：[1]徐州医学院附属医院急救中心,221006

出　　处：《中国继续医学教育》2015年第33期252-253,共2页China Continuing Medical Education

摘　　要：目的探讨临床路径护理联合心理护理对非手术治疗急性胰腺炎患者的影响。方法 115例非手术治疗的急性胰腺炎患者随机分为对照组和实验组,对照组65例采用常规护理;实验组50例以临床路径护理为指导,联合心理护理。分别使用主观评分、心理健康症状自评量表和汉密顿焦虑抑郁量表对两组患者出院时的健康恢复状况、心理状况和精神状况进行评分。结果实验组患者的健康恢复状况主观评分、心理健康症状自评量表评分和汉密顿焦虑抑郁量表评分均低于对照组,差异均有统计学意义(P<0.05)。结论临床路径护理联合心理护理可提高非手术治疗急性胰腺炎患者的治疗效果,改善不良的心理和精神状态。Objective To explore the nursing effect of clinical nursing pathway combined with mental nursing method on patients of acute pancreatitis without surgery. Methods All of the 115 cases of patients suffering with acute pancreatitis and treated with no-surgical method were divided into two groups（controlled group and experimental group） randomly. Routine nursing was taken in controlled group（65 cases）. Clinical pathway nursing combined with mental nursing method were taken in experimental group. Patient generated score, symptom checklist-90（SCL-90）. Hamilton Depression Scale（HAMD） and Anxiety Scale（HAMA） were used in patients＇ condition of physical, psychology and mental before get out of the hospital, respectively. Results The generated score in experiment group was higher than controlled group, but SCL-90 and HAMD-HAMA of the patients in experimental group were lower than controlled group. Statistical differences were found in the two groups（P〈0.05）. Conclusion Clinical nursing pathway combined with mental nursing method improved the treating effect in acute pancreatitis with no-surgery treatment.

关 键 词：急性胰腺炎 临床路径护理 心理护理 

分 类 号：R473[医药卫生—护理学]