基于 BISAP 评分系统的护理干预对重症胰腺炎 患者自我护理能力、生活质量的影响分析  

Analysis of the Effect of Nursing Intervention Based on BISAP Scoring System on Self-care Ability and Quality of Life of Patients with Severe Pancreatitis

作　　者：罗云蓉 方惠婷 张生玉 LUO Yunrong;FANG Huiting;ZHANG Shengyu(Union Hospital Affiliated to Fujian Medical University,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建医科大学附属协和医院,福建福州350001

出　　处：《中外医疗》2024年第7期157-160,169,共5页China & Foreign Medical Treatment

摘　　要：目的探讨基于床旁严重度指数(Bedside Index of Severity in Acute Pancreatitis,BISAP)评分系统的护理干预对重症胰腺炎患者自我护理能力、生活质量的影响。方法方便选取2022年1月-2023年5月福建医科大学附属协和医院收治的88例重症胰腺炎患者为研究对象,接随机数表法分为对照组和BISAP评分组,各44例。对照组接受临床重症胰腺炎患者的常规护理,BISAP评分组接受基于BISAP评分系统的护理干预。对比两组患者的护理1周、护理2周后自我护理能力、生活质量及护理满意度。结果护理1周、护理2周时,BISAP评分组的自我护理能力评估量表中对健康知识掌握、自我认同、自我责任感、自我护理能力等维度评分值均高于对照组,差异有统计学意义(P均<0.05);BISAP评分组的生活质量综合评估量表中躯体功能、心理功能、社会功能、物质生活状态等维度评分值均高于对照组,差异有统计学意义(P均<0.05)。出院当日,BISAP评分组的平均护理满意度评分(94.76±5.43)分高于对照组(84.93±8.05)分,差异有统计学意义(t=6.715,P<0.05)。结论基于BISAP评分系统的护理干预应用于重症胰腺炎患者中,可积极提升其自我护理能力及生活质量,同时有助于护理满意度的优化。Objective To investigate the effects of nursing intervention based on Bedside Index of Severity in Acute Pancreatitis(BISAP)scoring system on self-care ability and quality of life of patients with severe pancreatitis.Methods A total of 88 patients with severe pancreatitis treated in Union Hospital Affiliated to Fujian Medical University from January 2022 to May 2023 were conveniently selected as study subjects,and all patients were divided into 44 cases each in the control group and the BISAP scoring group with reference to the method of randomized number table.The patients in the control group received routine nursing care for patients with clinical severe pancreatitis,and the pa-tients in the BISAP scoring group received nursing interventions based on the BISAP scoring system.Comparison of self-care ability,quality of life and satisfaction with care after 1 week of care and 2 weeks of care in two groups of pa-tients.Results At 1 week and 2 weeks of nursing care,the scoring values of the dimensions of health knowledge,self-identity,self-responsibility,and self-care ability in the self-care ability assessment scale of the BISAP score group were higher than those of the control group,and the differences were statistically significant(all P<0.05),and the scor-ing values of the dimensions of somatic functioning,psychological functioning,social functioning,and material life status in the comprehensive quality of life assessment scale of the BISAP score group were higher than those of the control group,and the differences were statistically significant(all P<0.05).On the day of discharge,the mean BISAP score of the patients was(94.76±5.43)points,which was significantly higher than that of the control group(84.93±8.05)points,and the difference was statistically significant(t=6.715,P<0.05).Conclusion Nursing interven-tion based on BISAP scoring system applied to patients with severe pancreatitis can actively improve their self-care ability and quality of life,and at the same time contribute to the optimization of nurs

关 键 词：重症胰腺炎 床旁严重度指数评分系统 自我护理能力 生活质量 护理满意度 

分 类 号：R473[医药卫生—护理学]