护理风险管理对ERCP术后胰腺炎的预防效果

Preventive effects of nursing risks management for pancreatitis after ERCP

目的：探讨护理风险管理对经内镜逆行性胰胆管造影术（ ERCP）术后胰腺炎的预防效果。方法2012年8月—2014年7月选取温州医科大学附属第一医院行ERCP治疗的患者200例,按照所住院病区分为对照组和观察组,每组100例,对照组实行常规护理干预,观察组实行护理风险管理护理干预。比较两组患者ERCP术后胰腺炎的发生率和护理效果。结果观察组患者术后无一例发生胰腺炎,护理满意度99.0%；对照组胰腺炎发生率6.0%,护理满意度71.0%；两组比较差异有统计学意义（χ2值分别为6.19,31.75；P〈0.05）。观察组患者住院时间为（6.8±2.5）d,对照组为（10.7±4.1）d,差异有统计学意义（t=6.45,P〈0.05）。护理干预后观察组患者焦虑评分为（42.7±5.9）分,对照组为（53.2±7.1）分,差异有统计学意义（t=4.69,P〈0.05）。结论护理风险管理能够降低患者ERCP术后胰腺炎发病率、缩短住院时间,改善焦虑水平,提高护理满意度。

Objective To study the preventive effect of nursing risks management for pancreatitis after ERCP. Methods From August 2012 to July 2014,a total of 200 patients treated with endoscopic retrograde cholangiopancreatography （ ERCP） in our hospital were selected and divided into control group using the routine nursing intervention and observation group using the risk nursing management of nursing intervention. We＆amp;nbsp;compared the incidence of pancreatitis and nursing effects between two groups after ERCP. Results After operation, patients of observation group occurred no incidence of pancreatitis, while nursing satisfaction was 99. 0%; the incidence of pancreatitis was 6. 0% and nursing satisfaction was 71. 0% in the control group （χ2 =6. 19, 31. 75;P〈0. 05）. After nursing interventions, the length of hospitalization was （6. 8 ± 2. 5）d in the observation group compared （10.7 ±4.1）d in the control group （t=6.45, P〈0.05）. The anxiety score in the observation group was （42. 7 ± 5. 9）, lower than （53. 2 ± 7. 1） in the control group （t=4. 69, P 〈 0. 05 ）. Conclusions The nursing risks management can significantly reduce the incidence of pancreatitis after ERCP and the total incidence of complications, shorten the hospitalization time of patients, improve the patient′s level of anxiety and the patients′satisfaction of nursing.