护理结局分类系统导向的健康宣教指导对急性胰腺炎内科保守治疗患者的应用效果  

Application Effect of Nursing Outcome Classification System-Oriented Health Education Guidance on Patients with Acute Pancreatitis Treated Conservatively

作　　者：黄豆 HUANG Dou(Department of Gastroenterology,73rd Army Group Military Hospital of the Chinese People's Liberation Army,Xia‐men,Fujian Province,361000 China)

机构地区：[1]中国人民解放军陆军第七十三集团军医院消化内科,福建厦门361000

出　　处：《中外医疗》2022年第18期172-176,共5页China & Foreign Medical Treatment

摘　　要：目的研究护理结局分类系统(NOC)导向的健康宣教指导对急性胰腺炎内科保守治疗患者的应用效果。方法随机选择2020年1月—2021年1月于该院内科接受保守治疗的60例急性胰腺炎患者为研究对象,按随机数表法将其分为参考组(n=30)和观察组(n=30)。参考组予以常规健康宣教指导,观察组予以NOC导向的健康宣教指导。对比两组临床症状持续时间;干预前后自我护理能力量表(ESCA)评分;干预前后匹兹堡睡眠质量指数问卷(PSQI)与健康状况调查简表(SF-36)评分;对比两组出院后遵医行为(合理作息、按时服药、均衡饮食、适当运动)。结果观察组腹痛持续时间(3.64±0.61)d、腹胀持续时间(2.73±0.63)d、呕吐持续时间(2.80±0.36)d、腹压痛持续时间(4.03±0.65)d均短于参考组,差异有统计学意义(t=8.541、9.104、11.287、7.785,P<0.05);观察组干预24 h后ESCA评分(55.64±3.61)分、48 h后ESCA评分(62.56±3.06)分、出院时ESCA评分(73.03±3.34)分均明显高于参考组,差异有统计学意义(t=6.732、8.264、9.366,P<0.05);出院时,观察组的PSQI评分(8.06±0.85)分低于参考组的(10.30±1.02)分,SF-36评分(74.03±3.72)分高于参考组的(64.69±3.34)分,差异有统计学意义(t=9.241、10.233,P<0.05);观察组患者出院后合理作息执行率93.33%、按时服药执行率100.00%、均衡饮食执行率96.67%、适当运动执行率90.00%均高于参考组,差异有统计学意义(χ^(2)=6.667、5.822、7.680、5.963,P<0.05)。结论NOC导向的健康宣教指导能改善急性胰腺炎患者的临床症状,帮助其强化自我护理能力,还能提高患者的睡眠质量与生存质量,提高其遵医行为执行率。Objective To study the effect of nursing outcomes classification system(NOC)-oriented health education guidance on patients with acute pancreatitis conservative treatment.Methods 60 patients with acute pancreatitis who received conservative treatment in the internal medicine department of the hospital from January 2020 to January 2021 were randomly selected as observation objects,and divided into reference group(n=30)and observation group(n=30)according to the random number table method.The reference group was given routine health education and guidance,and the observation group was given NOC-oriented health education and education.The duration of clinical symptoms in the two groups was compared,the Self-care Ability Scale(ESCA)before and after the intervention,the scores of Pittsburgh Sleep Quality Index Questionnaire(PSQI)and Short Form of Health Status Survey(SF-36)before and after the intervention.the medical compliance behaviors(reasonable work and rest,taking medicines on time,balanced diet,and proper exercise)after discharge were compared between the two groups.Results The duration of abdominal pain(3.64±0.61)d,duration of abdominal distension(2.73±0.63)d,duration of vomiting(2.80±0.36)d,duration of abdominal tenderness(4.03±0.65)d in the observation group were all shorter than those in the reference group,and the difference was statistically significant(t=8.541,9.104,11.287,7.785,P<0.05).The ESCA score(55.64±3.61)points after 24 hours of intervention,the ESCA score after 48 hours(62.56±3.06)points,and the ESCA score at discharge(73.03±3.34)points in the observation group were significantly higher than those in the reference group,and the differences were statistically significant(t=6.732,8.264,9.366,P<0.05).At the time of discharge,the PSQI score of the observation group(8.06±0.85)points was lower than that of the reference group(10.30±1.02)points,and the SF-36 score(74.03±3.72)points was higher than that of the reference group(64.69±3.34)points,and the difference was statistically significant(

关 键 词：护理结局分类系统导向 健康宣教指导 急性胰腺炎 ESCA评分 

分 类 号：R193[医药卫生—卫生事业管理]