舒适护理在重症胰腺炎患者持续胃肠减压中的应用效果  

Clinical application of comfortable nursing interventions in the continuous gastrointestinal decompression for severe pancreatitis patients

作　　者：古桂花 张雄文 GU Gui-hua;ZHANG Xiong-wen(Department of Surgery,People′s Hospital of Yuancheng District of Heyuan City,Guangdong Province,Heyuan 517000,China)

机构地区：[1]广东省河源市源城区人民医院外科,广东河源517000

出　　处：《中国当代医药》2018年第10期169-171,共3页China Modern Medicine

基　　金：广东省科技计划项目

摘　　要：目的研究舒适护理在重症胰腺炎患者持续胃肠减压中的临床效果。方法选择我院2015年1月~2017年10月收治的54例重症胰腺炎患者作为研究对象,按照随机数字表法分为研究组与对照组,每组各27例。研究组患者采取舒适护理,对照组采取常规护理,对比两组患者护理效果。结果护理前,两组患者舒适度差异无统计学意义(P>0.05),护理后3 d以及1周后,研究组患者舒适度评分均较对照组提高(P<0.05);护理前,两组患者心境状态(POMS)评分差异无统计学意义(P>0.05);护理后,研究组患者紧张、愤怒、疲劳、抑郁以及慌乱评分均较对照组明显降低(P<0.05),但精力、与自我有关情绪评分较对照组提高,差异均有统计学意义(P<0.05)。结论重症胰腺炎患者采取舒适护理效果更好,在患者胃肠减压中具有重要作用,明显提高患者舒适程度,维持良好医患关系,为患者预后提供保障。Objective To analyze the clinical effect of comfortable nursing interventions in the continuous gastrointestinal decompression for severe pancreatitis patients.Methods A total of 54 patients with severe pancreatitis treated from January 2015 to October 2017 in our hospital were selected.The subjects were randomly divided into study group and control group,27 cases in each group.The study groups was adopted the comfortable nursing interventions and the control group was adopted conventional nursing care,respectively.The clinical effect was observed between two groups.Results Before intervention,the comfort level for two groups was not significantly different(P>0.05);after 3 d and 1 week of intervention,the comfort scores for study group were significantly higher than that in the control group(P<0.05);before intervention,the POMS points for two groups were not significantly different(P>0.05);after intervention,the scores of tension,anger,fatigue,depression and confusion for study group were significantly lower than that in the control group(P<0.05);the scores of energy and individual emotions for study group were significantly higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion The comfortable nursing intervention has an obvious effect in the continuous gastrointestinal decompression,increases their comfort level,maintains the favorable doctor-patient relationship and improves the clinical prognosis.

关 键 词：效果观察 舒适护理 胃肠减压 重症胰腺炎 

分 类 号：R473.5[医药卫生—护理学]