循证护理模式对重症急性胰腺炎患者生活质量和自护能力的影响  

Effect of evidence-based nursing model on quality of life and self-care ability of patients with severe acute pancreatitis

作　　者：黎慧萍[1] 黄蔓颖 韦娇妮 韦惠云[1] 李爽旗 LI Huiping;HUANG Manying;WEI Jiaoni;WEI Huiyun;LI Shuangqi(Department of Gastroenterology Medicine Second Ward,Affiliated Hospital of Youjiang Medical University for Nationalities,Guangxi Zhuang Autonomous Region,Baise533000,China)

机构地区：[1]右江民族医学院附属医院消化内科二病区,广西百色533000

出　　处：《中国当代医药》2024年第20期155-159,共5页China Modern Medicine

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z-L20230883);广西壮族自治区百色市科学研究与技术开发计划课题(20213218)。

摘　　要：目的探讨循证护理模式对重症急性胰腺炎患者生活质量、自我护理能力、预后的影响。方法选取2021年7月至2022年7月右江民族医学院附属医院收治的90例重症急性胰腺炎患者作为研究对象,按照随机数字表法分为参照组(45例)与干预组(45例),参照组采用常规治疗和护理,干预组在常规接受常规治疗和护理基础上,采用循证护理模式。比较两组生活质量、自我护理能力及并发症发生情况。结果护理前,两组患者生活质量、自我护理能力评分比较,差异无统计学意义(P>0.05);护理后,干预组生活质量评分、自我护理能力评分高于参照组,差异有统计学意义(P<0.05),并发症发生率及C反应蛋白、血清淀粉酶、血糖水平低于参照组,血清钙水平高于参照组,差异有统计学意义(P<0.05)。结论循证护理模式应用于重症急性胰腺炎患者中,有效提高患者生活质量及自我护理能力,减少并发症发生,改善疾病预后。Objective To explore the effect of evidence-based nursing model on quality of life,self-care ability and prognosis of patients with severe acute pancreatitis.Methods A total of 90 patients with severe acute pancreatitis admitted to the Affiliated Hospital of Youjiang Medical University for Nationalities from July 2021 to July 2022 were selected as the study subjects,and they were divided into a reference group(45 cases)and an intervention group(45 cases)according to random number table method.The reference group received conventional treatment and nursing,and the intervention group received evidence-based nursing on the basis of routine treatment and nursing.The quality of life,self-care ability and complications were compared between the two groups.Results Before nursing,there was no significant difference in the scores of quality of life and self-care ability between the two groups(P>0.05).After nursing,the quality of life score and self-care ability score of the intervention group were higher than those of the reference group,the differences were statistically significant(P<0.05),the rate of complications,level of C-reactive protein,serum amylase and blood glucose were lower than those of the reference group,and the serum calcium level were higher than those of the reference group,the differences were statistically significant(P<0.05).Conclusion The application of evidence-based nursing model in patients with severe acute pancreatitis can effectively improve patients'quality of life and self-care ability,reduce complications and improve disease prognosis.

关 键 词：循证护理 重症急性胰腺炎 生活质量 自我护理能力 

分 类 号：R657.51[医药卫生—外科学]