早期病房康复体操联合认知行为干预对急性胰腺炎患者护理的效果  

Nursing Effect of Early Ward Rehabilitation Exercise Combined with Cognitive Behavior Intervention on Patients with Acute Pancreatitis

作　　者：吕芳 谢玉梅 李上蓉 LYU Fang;XIE Yumei;LI Shangrong(Department of General SurgeryⅡ,Xingguo Hospital Affiliated to Gannan Medical University,Ganzhou 342400,China;不详)

机构地区：[1]赣南医学院附属兴国医院普外二科,江西赣州342400 [2]赣南医学院附属兴国医院小儿重症医学科,江西赣州342400

出　　处：《中国医学创新》2024年第4期104-109,共6页Medical Innovation of China

摘　　要：目的:分析早期病房康复体操联合认知行为干预对急性胰腺炎患者护理的临床效果。方法:择取赣南医学院附属兴国医院普外二科2019年11月—2021年6月收治的急性胰腺炎患者116例,随机分为对照组和观察组,对照组58例实施常规认知行为护理干预,观察组58例实施早期病房康复体操联合认知行为干预,于干预前、干预2周后,对比两组健康行为能力、临床指标、并发症发生情况。结果:干预前,两组健康行为能力各维度相比,差异均无统计学意义(P>0.05);干预2周后,观察组心理安适、健康责任、运动、营养等健康行为能力综合评分均高于对照组,差异均有统计学意义(P<0.05);观察组尿淀粉酶恢复时间、疼痛缓解时间、肠鸣音恢复时间、血清淀粉酶恢复时间均早于对照组,平均住院时间短于对照组(P<0.05);观察组肺部感染、压疮、恶心呕吐及寒战高热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:早期病房康复体操联合认知行为干预有助于提升急性胰腺炎患者自我康复行为能力,改善患者临床各指标情况,降低并发症的发生。Objective:To analyze the clinical effect of early ward rehabilitation exercise combined with cognitive behavior intervention on patients with acute pancreatitis.Method:A total of 116 patients with acute pancreatitis admitted to the Department of General SurgeryⅡ,Xingguo Hospital Affiliated to Gannan Medical University from November 2019 to June 2021 were selected.They were randomly divided into the control group and the observation group,58 patients in the control group received routine cognitive behavioral nursing intervention,58 patients in the observation group received early ward rehabilitation gymnastics combined with cognitive behavioral intervention,before and after two weeks of intervention,health behavior ability,clinical indexes and complications of the two groups were compared.Result:Before intervention,there were no significant differences in all dimensions of health behavior ability between the two groups(P>0.05);after two weeks of intervention,the comprehensive scores of health behavioral abilities in psychological well-being,health responsibility,exercise,nutrition in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The urine amylase recovery time,pain relief time,bowel sound recovery time,serum amylase recovery time in the observation group were earlier than those in the control group,and average length of hospital stay in the observation group was shorter than that in the control group(P<0.05).The incidence of lung infection,pressure sore,nausea and vomiting,chills and high fever in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Early ward rehabilitation exercise combined with cognitive behavior intervention is helpful to improve the self-rehabilitation behavior ability of patients with acute pancreatitis,improve the clinical indicators of patients,and reduce the occurrence of complications.

关 键 词：急性胰腺炎 早期病房康复体操 认知行为干预 健康行为能力 临床指标 并发症 

分 类 号：R473.5[医药卫生—护理学]