急性重症胰腺炎患者行床旁血液滤过的护理措施及效果

Nursing measures and effect of bedside hemofiltration in patients with acute severe pancreatitis

目的探讨急性重症胰腺炎患者行床旁血液滤过的护理措施及效果。方法 68例行床旁血液滤过治疗的急性重症胰腺炎患者,以随机信封法将其分为对照组和观察组,每组34例。对照组实施常规护理干预,观察组采取综合性护理干预措施,观察对比两组患者预后情况。结果观察组护理总有效率91.18%明显高于对照组的67.65%,差异具有统计学意义(P<0.05)。观察组住院时间(18.34±3.56)d明显短于对照组的(24.81±3.17)d,差异具有统计学意义(P<0.05)。结论床旁血液滤过治疗能够有效改善急性重症胰腺炎患者的病情,且科学合理的护理干预措施是保证治疗顺利进展的关键,护理人员应结合患者实际情况给予其系统全面的护理干预。

Objective To discuss the nursing measures and effect of bedside hemofiltration in patients with acute severe panereatitis. Methods A total Of 68 patients with acute severe pancreatitis undergoing bedside hemofiltration were divided by random envelope method into control group and observation group, with 34 cases in each group. The control group received conventional nursing intervention, and the observation group received comprehensive nursing intervention. The prognosis of two groups was observed and compared. Results The observation group had obviously higher total nursing effective rate as 91.18% than 67.65% in the control group, and the difference was statistically significant （P〈0.05）. The observation group had obviously shorter hospitalization time as （18.34 ± 3.56） d than （24.81 ± 3.17） d in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Bedside hemofiltration therapy can effectively improve the condition of patients with acute severe pancreatitis, and scientific and reasonable nursing interventions are the key to ensure the smooth progress of treatment. Nurses should provide comprehensive nursing intervention on the basis of the actual situation of patients.