系统化护理在连续性肾脏替代法治疗重症急性胰腺炎中的应用  

Study on the application of systematic care in continuous renal replacement therapy for severe acute pancreatitis

作　　者：丁亚楠[1] 唐海霞[1] 赵春红[1] Ding Yanan;Tang Haixia;Zhao Chunhong(Department of Critical Care Medicine, The Second Affiliated Hospital of Luohe Medical College, Luohe Henan 462000, China)

机构地区：[1]漯河医学高等专科学校第二附属医院重症医学科,河南漯河462000

出　　处：《保健医学研究与实践》2022年第3期86-89,共4页Health Medicine Research and Practice

基　　金：漯河医学高等专科学校2020年度创新创业发展能力提升工程项目(2020-LYZKYYB038)。

摘　　要：目的探讨系统化护理在连续性肾脏替代法(CRRT)治疗重症急性胰腺炎中的应用效果。方法选取2018年12月—2021年2月漯河市某医院收治的106例重症急性胰腺炎患者为研究对象,按随机数字表法分为系统化组(n=53)和对照组(n=53),对照组患者予以常规护理,系统化组患者在对照组基础上予以系统化护理,2组患者均持续护理至出院。比较2组患者重症加强护理病房(ICU)住院时间、并发症发生率,比较2组患者护理前后急性生理与慢性健康状况评分系统(APACHE-Ⅱ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果护理前,2组患者APACHE-Ⅱ评分比较,差异无统计学意义(P>0.05);护理后,2组患者APACHE-Ⅱ评分低于护理前,且系统化组低于对照组,差异均有统计学意义(P<0.05)。护理前,2组患者SAS及SDS评分比较,差异无统计学意义(P>0.05);护理后,2组患者SAS及SDS评分均低于护理前,且系统化组低于对照组,差异均有统计学意义(P<0.05)。系统化组患者ICU住院时间为(15.32±3.76)d,短于对照组的(19.69±3.87)d,差异有统计学意义(t=5.896,P<0.001)。系统化组患者的并发症发生率为3.77%,低于对照组的16.98%,差异有统计学意义(P<0.05)。结论系统化护理在重症急性胰腺炎患者CRRT治疗中,可有效改善患者负性情绪,缩短ICU住院时间,加快病情恢复,降低并发症发生风险,值得在临床上推广使用。Objective To explore the effect of systematic nursing in continuous renal replacement therapy(CRRT)for the treatment of severe acute pancreatitis.Methods One hundred and six patients with severe acute pancreatitis admitted to a hospital in Luohe from December 2018 to February 2021 were selected for the study,and were divided into a systematic group(n=53)and a control group(n=53)according to the time of admission.Patients in the control group were given conventional care,and patients in the systematic group were given systematic care on the basis of the control group;both groups received continuous care until discharge.The length of stay in the intensive care unit(ICU)and the incidence of complications were compared between the two groups,and the scores of the Acute Physical And Chronic Health Evaluation II(APACHE-Ⅱ),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were compared between the two groups before and after care.Results Before care,there was no statistically significant difference between the APACHE-Ⅱscores of the 2 groups of patients(P>0.05);after care,the APACHE-Ⅱscores of the 2 groups of patients were lower than before care and lower in the systematic group than in the control group,with statistically significant differences(P<0.05).Before care,there was no statistically significant difference between the SAS and SDS scores of patients in the 2 groups(P>0.05);after care,the SAS and SDS scores of patients in the 2 groups were lower than before care and lower in the systematic group than in the control group,with statistically significant differences(P<0.05).The ICU stay of patients in the systematic group was 15.32±3.76 d,shorter than that of the control group(19.69±3.87 d),and the difference was statistically significant(t=5.896,P<0.001).The complication rate of patients in the systematic group was 3.77%,which was lower than that of 16.98%in the control group,with a statistically significant difference(P<0.05).Conclusion Systematic care in patients with severe acute pancreat

关 键 词：系统化护理 重症急性胰腺炎 连续性肾脏替代治疗 并发症发生率 

分 类 号：R473.5[医药卫生—护理学]