可调节皮硝外敷背心在急性重症胰腺炎患者中应用的效果研究  

Study on the application and effect of adjustable mirabilite external vest in severe acute pancreatitis

作　　者：江丽峰 郝平[2] 徐蕾[2] 邵永萍[2] 孙文琦[3] 姚凌峰 刘艳[1] Jiang Lifeng;Hao Ping;Xu Lei;Shao Yongping;Sun Wenqi;Yao Lingfeng;Liu Yan(Department of Surgical Intensive Care Unit,Putuo Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200062,China;Department of Nursing,Putuo Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200062,China;Department of Minimally Invasive Surgery,Putuo Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200062,China;Emergency Surgery Department,Putuo Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200062,China)

机构地区：[1]上海中医药大学附属普陀医院外科监护室,上海200062 [2]上海中医药大学附属普陀医院护理部,上海200062 [3]上海中医药大学附属普陀医院微创外科病房,上海200062 [4]上海中医药大学附属普陀医院急诊外科病房,上海200062

出　　处：《中国实用护理杂志》2023年第26期2039-2043,共5页Chinese Journal of Practical Nursing

基　　金：上海中医药大学附属普陀医院2020年度院级护理专项科研项目(2020331A)。

摘　　要：目的探究自制的可调节皮硝外敷背心对急性重症胰腺炎患者的临床效果,为临床护理提供参考。方法本研究为随机对照研究。选择2021年1月至2022年6月于上海中医药大学附属普陀医院就诊的急性重症胰腺炎患者100例,按照患者入院顺序分为口袋组和背心组,每组50例。口袋组使用传统皮硝袋外敷,背心组使用可调节皮硝外敷背心外敷,其他均采用相同的治疗措施,对比2组患者舒适度、瘙痒严重程度和住院天数的差异。结果试验前2组基本资料具有同质性,差异均无统计学意义(均P>0.05)。试验后口袋组舒适度评分为(65.90±7.95)分,背心组为(77.04±5.96)分,差异有统计学意义(t=7.93,P<0.01);试验后口袋组瘙痒程度为(12.72±3.95)分,背心组为(8.00±1.20)分,差异有统计学意义(t=8.08,P<0.05);试验后口袋组住院天数为(15.86±5.83)d,背心组为(11.02±3.38)d,差异有统计学意义(t=5.08,P<0.01)。结论对急性重症胰腺炎患者使用皮硝外敷时,采用可调节皮硝外敷背心能够显著改善患者舒适度、减少瘙痒及住院天数,具有推广使用价值。Objective To investigate the clinical effect of homemade adjustable mirabilite vest in patients with severe acute pancreatitis and supply reference for clinical nursing.Methods This was a randomized controlled study.One hundred patients with acute severe pancreatitis admitted to Putuo Hospital,Shanghai University of Traditional Chinese Medicine from January 2021 to June 2022 were selected,and were divided into the pocket group and the vest group according to the order of admission with 50 cases in each group.The pocket group used traditional mirabilite bag for external application,the vest group used adjustable mirabilite vest for external application.The other treatment measures were the same for both two group.The comfort degree,itching severity and average length of hospital stay of these two groups were compared.Results The basic data of the two groups were homogeneous.The difference were not statistically significant(P>0.05).After intervention,the comfort degree of the pocket group was(65.90±7.95)points while the comfort degree of the vest group was(77.04±5.96)points.The difference was statistically significant(t=7.93,P<0.01).The degree of pruritus was(12.72±3.95)points in the pocket group and(8.00±1.20)points in the vest group.The difference was statistically significant(t=8.08,P<0.05).The mean length of hospital stay in the pocket group was(15.86±5.83)days and(11.02±3.38)days in the vest group.The difference was statistically significant(t=5.08,P<0.01).Conclusions When using topical mirabilite for patients with acute severe pancreatitis,the use of adjustable mirabilite vest can significantly improve patients′comfort,reduce itching,and reduce the number of hospital days,which has the value of promotion and use.

关 键 词：胰腺炎 皮硝 舒适度 瘙痒程度 住院天数 

分 类 号：R473.5[医药卫生—护理学]