基于Siebens领域管理模式的延续性护理在重症急性胰腺炎患者中的应用  

Application of Continwous Nursing Based on Siebens Domain Management Model in Patients with Severe Acute Pancreatitis

作　　者：金鑫 高迅 JIN Xin;GAO Xun(Intensive Care Unit,Zhumadian Central Hospital,Zhumadian 463000,China)

机构地区：[1]驻马店市中心医院重症医学科,河南驻马店463000

出　　处：《临床医学工程》2024年第7期889-890,共2页Clinical Medicine & Engineering

摘　　要：目的探讨与分析基于Siebens领域管理模式(SDMM)的延续性护理在重症急性胰腺炎(SAP)患者中的应用效果。方法选取2022年1月至2023年3月我院收治的74例SAP患者,随机分为参照组(37例)与研究组(37例)。参照组采用常规延续性护理干预,研究组采用基于SDMM的延续性护理干预,对比两组的APACHEⅡ、MODS及WHOQOL-BREF评分与复发率。结果干预3个月后,研究组APACHEⅡ、MODS评分均低于参照组,WHOQOL-BREF评分高于参照组(P<0.05)。研究组干预3个月内复发率为0.00%,低于参照组的16.22%(P<0.05)。结论基于SDMM的延续性护理可明显降低SAP患者APACHEⅡ、MODS评分,促进患者病情转归,改善其生活质量,降低复发率。Objective To explore and analyze the application effect of continuous nursing based on Siebens domain management model(SDMM)in patients with severe acute pancreatitis(SAP).Methods 74 SAP patients admitted to our hospital from January 2022 to March 2023 were selected and randomly divided into reference group(37 cases)and study group(37 cases).The reference group was given routine continuous nursing intervention,and the study group was given the continuous nursing intervention based on SDMM.The APACHEⅡ,MODS,WHOQOL-BREF scores and recurrence rate were compared between the two groups.Results After 3 months of intervention,the APACHEⅡand MODS scores of the study group were lower than those of the reference group,and the WHOQOL-BREF score was higher than that of the reference group(P<0.05).The recurrence rate of the study group within 3 months of intervention was 0.00%,lower than 16.22%of the reference group(P<0.05).Conclusions Continuous nursing based on SDMM can significantly reduce the APACHEⅡand MODS scores of SAP patients,promote the prognosis,improve the quality of life,and reduce the recurrence rate.

关 键 词：重症急性胰腺炎 Siebens领域管理模式 延续性护理 

分 类 号：R651.11[医药卫生—外科学]