冰山理论针对性护理对脓毒症合并重症胰腺炎患者的影响  

Effect of Iceberg Theory Targeted Nursing on Patients with Sepsis Complicated with Severe Pancreatitis

作　　者：吴鹭情 郑瑞 蔡益虹 WU Luqing;ZHENG Rui;CAI Yihong(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China;不详)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《中外医学研究》2023年第27期107-110,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析冰山理论针对性护理对脓毒症合并重症胰腺炎患者的影响。方法:选取2019年6月—2022年10月厦门大学附属第一医院收治的66例脓毒症合并重症胰腺炎患者作为本次研究对象,按随机数表法将其分为观察组和对照组,各33例。对照组采用一般性护理,观察组采用冰山理论针对性护理。比较两组恢复指标,护理前和护理48 h后血压和体征指标(平均动脉压、体温、呼吸频率),护理前后急性生理与慢性健康(APACHEⅡ)评分,护理1 d、2 d、3 d后胃肠功能障碍评分及并发症(压疮、低血压、导管脱出)发生情况。结果:护理48 h后,两组平均动脉压高于护理前,体温、呼吸频率均低于护理前,且观察组平均动脉压高于对照组,体温、呼吸频率低于对照组,差异有统计学意义(P<0.05)。护理后,两组APACHEⅡ评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组住院时间、抗生素使用时间、机械通气时间均短于对照组,差异有统计学意义(P<0.05)。护理1 d后,两组胃肠功能障碍评分(GIF)评分比较,差异无统计学意义(P>0.05);护理2 d、3 d后,两组GIF评分均低于护理1 d后,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组压疮、低血压、导管脱出等并发症总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:冰山理论针对性护理能有效改善脓毒症合并重症胰腺炎患者血压水平及生命体征,缩短患者恢复时间,减少并发症发生。Objective:To analyze the effect of iceberg theory targeted nursing on patients with sepsis complicated with severe pancreatitis.Method:A total of 66 patients with sepsis complicated with severe pancreatitis admitted to the First Affiliated Hospital of Xiamen University from June 2019 to October 2022 were selected as the subjects of this study,and they were divided into observation group and control group according to random number table method,with 33 cases in each group.The control group was treated with general nursing,and the observation group was treated with iceberg theory targeted nursing.The recovery indexes,blood pressure and physical indicators(mean arterial pressure,body temperature and respiration rate)before and after 48 h of nursing,acute physiological and chronic health evaluation(APACHEⅡ)scores before and after nursing,gastrointestinal dysfunction scores after 1 d,2 d,3 d of nursing and complications(pressure ulcers,hypotension and catheter prolapse)were compared between the two groups.Result:After 48 h of nursing,the mean arterial pressure of the two groups were higher than those before nursing,while the body temperature and respiratory rate were lower than those before nursing,and the mean arterial pressure of the observation group was higher than that of the control group,while the body temperature and respiratory rate were lower than those of the control group,the differences were statistically significant(P<0.05).After nursing,APACHEⅡscores in both groups were lower than those before nursing,and observation group was lower than that of control group,the differences were statistically significant(P<0.05).The hospitalization time,antibiotic use time and mechanical ventilation time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After 1 d of nursing,there was no significant difference in gastrointestinal failure(GIF)score between the two groups(P>0.05).After 2 d,3 d of nursing,the GIF score of the two groups were

关 键 词：冰山理论 针对性护理 脓毒症 重症胰腺炎 血压 生命体征 

分 类 号：R473[医药卫生—护理学]