综合护理干预对急性胰腺炎患者效果观察及对患者生活质量的影响

The effect of comprehensive nursing intervention on patients with acute pancreatitis and the effect on the quality of life of patients

目的探讨综合护理干预对急性胰腺炎患者效果及对患者生活质量的影响。方法80例急性胰腺炎患者随机分为研究组与对照组，每组患者40例。研究组实施综合护理干预，对照组实施常规护理干预。对比两组患者腹胀、腹痛及肠鸣音缓解时间，血淀粉酶和尿淀粉酶恢复时间，护理满意率及干预后生活质量改善情况。结果研究组腹胀[（4.36±1．03）d]、腹痛[（4．18±0．87）d]及肠鸣音缓解时间[（3．25±0．45）d]均短于对照组[（5．46±1．17）d、（5．68±1．09）d、（5．16±0．78）d]，差异有统计学意义（P〈0．05）。研究组血淀粉酶恢复时间[（5．57±1.25）d]和尿淀粉酶恢复时间[（5．91±1．36）d]均短于对照组[（7．35±1．40）d、（8．17±1．54）d]，差异有统计学意义（P〈0．05）。研究组总满意率（97．5％）高于对照组（75．0％），差异有统计学意义（P〈0．05）。两组干预后认知、角色、躯体、情绪、社会及总健康评分较干预前增加，差异有统计学意义（P〈0．05）；研究组干预后认知、角色、躯体、情绪、社会及总健康评分高于对照组，差异有统计学意义（P〈0．05）。结论综合护理干预对急性胰腺炎患者效果显著，且能够明显改善患者生活质量。

Objective To explore the effect of comprehensive nursing intervention on patients with acute pancreatitis and its influence on the quality of life of patients. Methods 80 patients with acute pancreatitis were randomly divided into study group and control group, 40 cases in each group. Study group received comprehensive nursing intervention, while control group received routine nursing intervention. Compared abdominal distension, abdominal pain, and bowel sound relief time, blood amylase and urine amylase recovery time, nursing satisfaction rate, and the quality of life before and after the nursing intervention of two groups. Results The abdominal distension, abdominal pain, and bowel sound relief time of study group were all shorter than those of control group [（4.36±1.03）d vs.（5.46±1.17）d, （4.18±0.87）d vs.（5.68±1.09）d, （3.25±0.45）d vs.（5.16±0.78）d], with statistically significant differences （P〈0.05）. The blood amylase and urine amylase recovery time of study group were both shorter than those of control group [（5.57±1.25）d vs.（7.35±1.40）d, （5.91±1.36）d vs.（8.17±1.54）d], with statistically significant differences （P〈0.05）. The total satisfaction rate of study group （97.5%） was higher than that of control group （75%） （P〈0.05）. The cognitive, role, physical, emotional, social scores and the total health score increased in both two groups after the intervention （P〈0.05）, the cognitive, role, physical, emotional, social scores and the total health score of study group after the intervention were higher than those of control group （P〈0.05）. Conclusion Comprehensive nursing intervention has significant effect on patients with acute pancreatitis, which can significantly improve the quality of life of patients.