胰十二指肠切除术后患者口渴现况调查及影响因素分析  

Current status and influencing factors of thirst in patients after pancreaticoduodenectomy

作　　者：雷燕妮 王操操 桑素娟 李丽楠 程艳爽[2] Lei Yanni;Wang Caocao;Sang Sujuan;Li Linan;Cheng Yanshuang(Chinese People's Liberation Army Medical School,Beijing 100853,China;Department of Hepatobiliary and Pancreatology,the First Medical Center of the Chinese People's Liberation Army General Hospital,Beijing 100853,China)

机构地区：[1]解放军医学院,北京100853 [2]解放军总医院第一医学中心肝胆胰医学部,北京100853

出　　处：《中华现代护理杂志》2023年第16期2191-2196,共6页Chinese Journal of Modern Nursing

摘　　要：目的了解胰十二指肠切除术后患者口渴的发生率,分析术后口渴发生的影响因素。方法采用便利抽样法,选取解放军总医院第一医学中心2022年3—10月收治的155例胰十二指肠切除术患者作为研究对象,采用自制一般资料问卷、口渴程度数字评分表、口唇黏膜滋润程度评分、焦虑自评量表及抑郁自评量表进行调查,了解其口渴发生情况并分析影响因素。结果共收回有效问卷153份,问卷有效回收率为98.71%。其中有124例(81.05%)患者术后出现口渴。单因素分析显示,不同年龄、禁食水时间、吸烟史、饮酒史、高血压病史、糖尿病史、焦虑水平、抑郁水平的患者口渴发生情况比较,差异有统计学意义(P<0.05)。Logistic回归分析显示,年龄、高血压病史、糖尿病史、焦虑水平、抑郁水平为胰十二指肠切除术后患者口渴的主要影响因素(P<0.05)。结论胰十二指肠切除术后患者口渴普遍存在;年龄、高血压病史、糖尿病史、焦虑水平和抑郁水平是胰十二指肠切除术后患者口渴发生的影响因素,医护人员应依据相关因素给予有针对性的口渴防治干预措施。Objective To explore the incidence of thirst in patients undergoing pancreaticoduodenectomy and analyze its influencing factors.Methods From March to October 2022,155 patients with pancreaticoduodenectomy admitted to the First Medical Center of the Chinese People's Liberation Army General Hospital were selected as the study subject by convenience sampling.The patients were surveyed using the self-made general information questionnaire,Thirst Numerical Rate Scale,oral mucosal misture score,Self-Rating Anxiety Scale,and Self-Rating Depression Scale to understand the incidence of thirst and analyze influencing factors.Results A total of 153 valid questionnaires were collected,with a valid response rate of 98.71%.Among them,124 patients(81.05%)experienced postoperative thirst.Univariate analysis showed that there were statistical differences in the incidence of thirst among patients with different ages,fasting time,smoking history,drinking history,hypertension history,diabetes history,anxiety and depression(P<0.05).Logistic regression analysis showed that age,hypertension history,diabetes history,anxiety and depression were the main influencing factors for thirst in patients undergoing pancreaticoduodenectomy(P<0.05).Conclusions Thirst is common in patients after pancreaticoduodenectomy.Age,hypertension history,diabetes history,anxiety and depression are the influencing factors of thirst in patients after pancreaticoduodenectomy.Medical and nursing staff should provide targeted interventions for thirst prevention and treatment based on relevant factors.

关 键 词：围手术期护理 胰十二指肠切除术 口渴 影响因素 

分 类 号：R473.6[医药卫生—护理学]