重症急性胰腺炎治疗中综合护理干预的效果分析

Comprehensive nursing intervention in treatment for severe acute pancreatitis

目的探讨综合护理干预在重症急性胰腺炎患者治疗中的临床辅助效果。方法收集2015年10月至2016年10月本院收治的100例重症急性胰腺炎患者，随机分为对照组与实验组。对照组常规护理，实验组则加施综合护理干预，比较两组相关临床指标、临床事件、干预前后SAS、SDS评分与家属护理满意度。结果实验组腹胀恢复时间[（4.02±0.93）d]、腹痛恢复时间[（3.55±0.71）d]、感染消退时间[（10.33±1.64）d]、住院时间[（14.60±2.05）d]与总体临床事件发生率（28%）均显著性低于对照组[（5.73±0.89）d、（4.80±0.73）d、（13.29±1.96）d、（18.36±3.79）d和54%]；干预后，实验组SAS与SDS评分分别为（38.63±8.73）和（39.11±7.57），均显著低于对照组的（53.19±9.15）和（53.76±9.42）；实验组家属护理满意度显著优于对照组（76%比60%）；差异均有统计学意义（P〈0.01）。结论综合护理干预在重症急性胰腺炎患者治疗中的临床辅助效果显著，可提高满意度。

ObjectiveTo explore the clinical assistant effect of comprehensive nursing intervention in treatment for severe acute pancreatitis.Methods100 patients with severe acute pancreatitis admitted into our hospital from October, 2015 to October, 2016 were randomly divided into a control group and an experimental group. The control group were routinely cared and the experimental group were intervened with comprehensive nursing care. The related clinical indicators, clinical events, SAS and SDS scores before and after intervention, and family nursing satisfaction were compared between these two groups.ResultsThe times for the recovery of abdominal distension and abdominal pain, infection disappearing time, and hospital stay were shorter and the total incidence of clinical events was lower in the experimental group than in the control group [ （4.02±0.93） d vs. （5.73±0.89） d, （3.55±0.71） d vs. （4.80±0.73） d, （10.33±1.64） d vs. （13.29±1.96） d, （14.60±2.05） d vs. （18.36±3.79） d, and 28% vs. 54%]. After the intervention, the scores of SAS and SDS were （38.63±8.73） and （39.11±7.57） in the experimental group and were （53.19±9.15） and （53.76±9.42） in the control group. The satisfaction rate of family care was 76% in the experimental group and was 60% in the control group. There were statistical differences between these two groups （all P 〈0.01）.ConclusionComprehensive nursing intervention in treatment for severe acute pancreatitis is significantly effective and can improve the satisfaction.