循证护理联合大黄对ICU重症胰腺炎患者的干预效果研究

Intervention Effect of Evidence-Based Nursing Combined with Dahuang(Rhubarb) on Patients with Severe Pancreatitis in ICU

目的研究探讨循证护理联合大黄对ICU重症胰腺炎患者的干预效果。方法选取2020年1月—2021年12月河南省人民医院重症医学科收治的重症胰腺炎患者106例分配为观察组、对照组,各53例。对照组患者在ICU治疗期间辅助应用大黄治疗及ICU基础护理,观察组增加循证护理。评估比较组间患者症状改善、并发症发生情况、生活质量、护理满意度等进行统计比较。结果观察组患者的各种症状消退时间及住院时间均短于对照组(P<0.05)。观察组患者的并发症发生率为7.55%(4/53),低于对照组患者为22.64%(12/53)(P<0.05)。观察组生活质量评分高于对照组(P<0.05)。观察组护理满意度评分均高于对照组(P<0.05)。结论循证护理联合大黄对ICU重症胰腺炎患者的干预效果良好,使得重症胰腺炎性反应状快速消退,患者住院时间减短,提高患者的生活质量,降低并发症发生率,改善患者的护理满意度。

Objective To study the intervention effect of evidence-based nursing combined with Dahuang(Rhubarb)on patients with severe pancreatitis in ICU.Methods A total of 106 patients with severe pancreatitis treated in Department of critical medicine of Henan Provincial People’s Hospital from January 2020 to December 2021 were randomly divided into were observation group and control group,with 53 patients in each group.All patients were admitted to ICU for treatment.Dahuang(Rhubarb)combined with routine nursing intervention was used in the control group,and evidence-based nursing intervention was added in the observation group on the basis of the control group.The symptom relief time,hospital stay,complication rate,quality of life and nursing satisfaction of the two groups were compared.Results The recovery time of blood amylase,the regression time of abdominal pain,the recovery time of intestinal function and the length of hospital stay in the observation group were lower than those in the control group(P<0.05).The incidence of complications in the observation group was 7.55%(4/53),lower than that of the control group[22.64%(12/53)](P<0.05).After treatment intervention,the scores of quality of life in the observation group were higher than those in the control group(P<0.05).The scores of nursing satisfaction in the observation group,including nursing skills,service attitude,psychological guidance,health education and discharge guidance were higher than those of the control group(P<0.05).Conclusion The intervention effect of evidence-based nursing combined with Dahuang(Rhubarb)in ICU patients with severe pancreatitis is good.It can promote the regression of symptoms,shorten the hospitalization time,improve the quality of life,reduce the incidence of complications and improve the nursing satisfaction of the patients.