集束化护理在急性胰腺炎患者中的应用效果  

Application effect of bunching care in patients with acute pancreatitis

作　　者：唐甜甜[1] 李慧[1] 陈春雷 TANG Tiantian;LI Hui;CHEN Chunlei(Department of Emergency Medicine,Bozhou City People′s Hospital of Anhui Province,Bozhou,Anhui,236800)

机构地区：[1]安徽省亳州市人民医院急诊医学科,安徽亳州236800

出　　处：《实用临床医药杂志》2023年第9期127-130,共4页Journal of Clinical Medicine in Practice

摘　　要：目的观察集束化护理在急性胰腺炎(AP)患者中的应用效果。方法选取88例AP患者作为研究对象,采用随机数字表法分为对照组与观察组,每组44例。对照组在常规治疗基础上实施传统护理干预,观察组在对照组基础上同时实施集束化护理干预。观察并比较2组患者干预后疼痛情况、临床症状改善情况、并发症发生情况和住院期间满意度。结果干预后,观察组重度疼痛者占比低于对照组,轻度疼痛或无痛者占比高于对照组,差异有统计学意义(P<0.05);干预后,观察组腹痛消失时间、退热时间、腹胀减轻时间、排便时间、排气时间依次为(2.28±0.59)、(4.56±0.75)、(3.78±0.32)、(2.51±0.44)、(2.96±0.18)d,分别短于对照组的(3.16±0.41)、(5.33±1.38)、(4.12±0.53)、(3.42±0.50)、(3.59±0.71)d,差异有统计学意义(P<0.05);观察组并发症总发生率为6.82%,低于对照组的31.82%,差异有统计学意义(P<0.05);观察组患者总满意率为97.72%,高于对照组的75.00%,差异有统计学意义(P<0.05)。结论对AP患者实施集束化护理干预,不仅能加快腹痛、腹胀等临床症状减轻,促进胃肠道功能尽快恢复,还能降低并发症发生率,提升患者护理满意度。Objective To observe effect of cluster nursing in patients with acute pancreatitis(AP).Methods A total of 88 cases were selected as study subjects,and were divided into control group(n=44)and observation group(n=44)according to random number table method.The control group received traditional nursing intervention on the basis of conventional treatment,and the observation group received cluster nursing intervention on the basis of control group.The pain,improvement of clinical symptoms,occurrence of complications and satisfaction during hospitalization were observed and compared between the two groups.Results After intervention,the proportion of patients with severe pain in the observation group was lower than that in the control group,and the proportion of patients with mild pain or no pain was higher than that in the control group(P<0.05).After intervention,the time of abdominal pain disappearance,fever reduction,abdominal distension relief,defecation time and exhaust time in the observation group were(2.28±0.59),(4.56±0.75),(3.78±0.32),(2.51±0.44),(2.96±0.18)d,respectively,which were shorter than(3.16±0.41),(5.33±1.38),(4.12±0.53),(3.42±0.50),(3.59±0.71)d,respectively in the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 6.82%,which was lower than 31.82%in the control group(P<0.05).The total satisfaction rate of the observation group was higher than that of control group(97.72%versus 75.00%,P<0.05).Conclusion Cluster nursing management for AP patients can effectively relieve the clinical symptoms of abdominal pain and abdominal distension,promote the recovery of gastrointestinal function,reduce the incidence of complications and improve patients′nursing satisfaction in AP patients.

关 键 词：集束化护理 急性胰腺炎 胃肠道功能 腹痛 腹胀 发热 

分 类 号：R576[医药卫生—消化系统] R473.5[医药卫生—内科学]