并发症预防护理应用于重症急性胰腺炎患者护理中的效果观察

Observation the Effect Observation of Complications Prevention Nursing in Nursing Care of Patients with Severe Acute Pancreatitis

目的:研究并发症预防护理应用于重症急性胰腺炎患者护理中的效果。方法:选取2015年1月-2016年11月重症急性胰腺炎患者90例作为研究对象,按照随机数字表法分为常规护理组和预防性护理组,各45例。常规护理组采用常规的护理方法,预防性护理组在常规护理方法基础上给予并发症预防护理。比较两组治疗总有效率,肠胀气、消化道出血、腹腔感染、休克等并发症发生率,护理前和护理后患者生理、心理、社会、精神/宗教、独立性等WHO-QOL生存质量测定量因子评分的差异;比较两组平均住院时间,护理满意度评分,护理前后肿瘤坏死因子、白细胞介素水平。结果:预防性护理组治疗总有效率高于常规护理组(P<0.05);预防性护理组肠胀气、消化道出血、腹腔感染、休克等并发症发生率低于常规护理组(P<0.05)。护理前两组生理、心理、社会、精神/宗教、独立性等WHO-QOL生存质量测定量因子评分比较,差异均无统计学意义(P>0.05);护理后预防性护理组生理、心理、社会、精神/宗教、独立性等WHO-QOL生存质量测定量因子评分改善幅度更大(P<0.05)。预防性护理组平均住院时间显著短于常规护理组(P<0.05),护理满意度评分显著高于常规护理组(P<0.05)。护理前两组肿瘤坏死因子、白细胞介素水平比较,差异均无统计学意义(P>0.05);护理后,预防性护理组肿瘤坏死因子、白细胞介素水平改善幅度更大(P<0.05)。结论:并发症预防护理在重症急性胰腺炎患者护理中的效果确切,可有效降低肠胀气、消化道出血、腹腔感染、休克等并发症发生,改善患者预后和生存质量,值得在临床推广和应用。

Objective： To study the effect of complications prevention nursing in the care of patients with severe acute panereatitis.Method： From January 2015 to November 2016, 90 patients with severe acute pancreatitis were divided into the routine care group and the preventive care group according to random number table method, 45 cases in each group.The routine care group was given conventional care methods, the preventive care group was given complications prevention on the basis of the routine care group.The efficiency of total treatment, the incidence of complications （ such as aerenterectasia, gastrointestinal bleeding, peritoneal infection and shock ） and WHO-QOL quality of life measure factors （ physical, psychological, social, spiritual/religion, independence and so on ） score of two groups before and after nursing were compared.The average length of stay, nursing satisfaction score, levels of tumor necrosis factor and interleukin of two groups before and after nursing were compared.Result： The total effective rate of the preventive care group was higher than that of the routine care group （ P〈0.05 ） .The incidence of the preventive care group was significantly lower than that of the preventive care group （ P〈0.05 ） .There was no significant difference in the scores of WHO-QOL quality of life of two groups before treatment （ P〉0.05 ）, and the scores of WHO-QOL quality of life of the preventive nursing group improved the greater （ P〈0.05 ） .The average hospital stay of the preventive care group was significantly shorter than that of the routine care group （ P〈0.05 ） .Nursing satisfaction score of the preventive care group was significantly higher than that of the routine care group （ P〈0.05 ） .There was no significant difference in the levels of tumor necrosisfactor and interleukin of two groups before treatment （ P〉0.05 ） .The levels of tumor necrosis factor and interleukin of the preventive nursing group after treatment were significantly higher than those of the control group （ P〈0.05 ） . Conclusion： Complications prevention nursing is effective in the care of patients with severe acute pancreatitis, it can effectively reduce the complications of severe acute pancreatitis such as aerenterectasia, gastrointestinal bleeding, abdominal infection and shock, and improve the prognosis and quality of life.h is worthy of clinical promotion and application.