基于个体化健康教育的延续性护理在急性胰腺炎患者中的应用  

Application of Continuous Nursing Based on Individual Health Education in Patients with Acute Pancreatitis

作　　者：宋娜[1] 李丹丹 高磊[1] Song Na;Li Dandan;Gao Lei(Qilu Hospital of Shandong University,Jinan Shandong 250012,China)

机构地区：[1]山东大学齐鲁医院,山东济南250012

出　　处：《齐鲁护理杂志》2021年第15期20-22,共3页Journal of Qilu Nursing

摘　　要：目的:探讨基于个体化健康教育的延续性护理在急性胰腺炎患者中的应用效果。方法:选择2019年1月1日~2020年8月31日收治的123例AP患者为研究对象,根据随机数字表法分为对照组61例和实验组62例,对照组接受常规治疗和护理措施,实验组在常规治疗与护理基础上实施基于个体化健康教育的延续性护理;比较两组护理前后心理状态[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[采用健康调查简表(SF-36)],比较两组就医满意度,出院后6个月患者复诊时统计患者远期并发症的发病率。结果:护理后,两组SAS、SDS评分低于护理前(P<0.05),且实验组低于对照组(P<0.05);护理后,两组SF-36中疼痛、精神健康、情感、生理功能和社会功能维度得分高于护理前(P<0.05);且实验组高于对照组(P<0.05);实验组就医满意度高于对照组(P<0.05),随访期间胰腺炎复发率、糖尿病、胰腺假性囊肿等远期并发症发生率低于对照组(P<0.05)。结论:基于个体化健康教育的延续性护理应用于AP患者中,可缓解患者负性心理,提高生活质量,并降低远期并发症发生率。Objective:To explore the application effect of continuous nursing based on individualized health education in patients with acute pancreatitis(AP).Methods:A total of 123 AP patients admitted during January 1,2019 to August 31,2020 were selected as the study objects and divided into the control group with 61 cases and the experimental group with 62 cases according to random number table method.The control group received routine treatment and nursing.The experimental group received continuous care based on individualized health education.Comparison was made between the two groups before and after the nursing on mental state by the self-evaluation on anxiety scale(SAS),depression self rating scale(SDS),and quality of life by the quality of life scale evaluation(SF-36)comparison was made on satisfaction evaluation.and during visit six months after discharged from hospital,the incidence of long-term complications was calculated.Results:After the nursing the SAS and SDS scores were lower in both groups than those before nursing(P<0.05),and lower in the experimental group than those in the control group(P<0.05).After the nursing,the pains,mental health,emotions,physiological functions and social functions dimensional scores of SF-36 were higher in both groups than those before nursing(P<0.05),and higher in the experimental group than those in the control group(P<0.05).The nursing satisfaction was higher in the experimental group than that in the control group(P<0.05).The recurrence of pancreatitis,the incidence of diabetes,pancreatic pseudocyst and other long-term complications in the experimental group were lower than those in the control group during the follow-up period(P<0.05).Conclusion:Application of continuous nursing based on individualized health education in AP patients can relieve their negative emotions,improve their quality of life,and reduce the incidence of long-term complications.

关 键 词：急性胰腺炎 个体化健康教育 延续性护理 生活质量 远期并发症 

分 类 号：R473.57[医药卫生—护理学]