心理师参与急性重症胰腺炎患者护理的临床作用

Clinical effects of involvement of a psychologist in nursing care of patients with severe acute pancreatitis

目的:本文旨在探讨专业心理师参与急性重症胰腺炎(severe acute pancreatitis,SAP)患者护理的临床疗效及其应用价值.方法:选取2013-08/2014-08于长江大学附属第一医院就诊并诊断为SAP的162例患者随机分为实验组82例,对照组80例.对照组患者进行一般常规护理,实验组患者在常规护理基础上由专业心理师参与SAP患者护理实施心理干预措施.对两组治疗效果、住院时间、焦虑情绪[焦虑自评量表(Self-rating Anxiety Scale,SAS)]进行评价.结果:对两组患者进行不同的护理干预后,实验组患者的治愈率(96.3%)明显高于对照组(87.5%),同时实验组患者依从性和护理满意度也明显高于对照组,且住院时间、焦虑情绪评分、复发率均低于对照组,差异均有统计学意义(P<0.05).结论:专业心理师参与SAP患者护理实施心理干预措施能显著减少患者住院时间,改善负性情绪进而提高SAP的治疗效果,在临床应用上极具价值.

AIM：To investigate the clinical effects and application value of involvement of a psychologist in the nursing care of patients with severe acute pancreatitis（SAP）.METHODS：A total of 162 patients diagnosed with SAP from August 2013 to August 2014 at our hospital were randomly divided into two groups：an experimental group（n-82） and a control group（n = 80）.The control group received routine care,and the experimental group received both routine care and psychological intervention by a psychologist.Effect of treatment,hospitalization time,patient compliance,and anxiety[Self-rating Anxiety Scale（SAS）]were compared for the two groups.RESULTS：Cure rate in the experimental group（96.3%） was significantly higher than that in the control group（87.5%）（P〈0.05）.Patient compliance and degree of satisfaction for nursing in the experimental group were significantly higher than those in the control group.The length of hospitalization time,anxiety scores,and recurrence rate were significantly lower than those in the control group（P〈0.05）.CONCLUSION：Involvement of a psychologist in nursing care significantly enhances patient compliance,reduces hospitalization time and improves negative emotions in SAP patients.