创优护理应用于急诊腹痛患者中的临床效果及对比研究

The Clinical Effect and Comparative Study of Excellent Nursing in Patients with Abdominal Pain in Emergency Department

目的:分析创优护理应用于急诊腹痛患者中的临床效果及对其生活质量的影响。方法:选取2016年12月至2017年12月在本院接受急诊腹痛治疗患者124例,依据随机数字表法将其分成两组,对照组(62例)进行常规护理,观察组(62例)在对照组基础上进行创优护理;观察患者护理后疼痛缓解时间、每天发作次数和疼痛评分,免疫荧光分析仪检测血清C反应蛋白(CRP)含量,ELISA法检测患者血清白细胞介素6(IL-6)及肿瘤坏死因子-α(TNF-α)含量,观察患者生活质量情况和护理满意情况。结果:护理后观察组患者疼痛VAS评分、缓解时间及发作次数均低于对照组,差异有统计学意义(P<0.05);护理后两组患者血清CRP、TNF-α及IL-6含量较护理前降低,差异有统计学意义(P<0.05),且观察组效果更佳;观察组患者心理健康、情绪角色功能、躯体角色功能、社会功能和精力方面得分均高于对照组,差异有统计学意义(P<0.05);观察组患者总满意率为95.16%,高于对照组的69.35%,差异有统计学意义(P<0.05)。结论:创优护理对急诊腹痛患者可明显提升其治疗效果和生活质量,促进护患关系和谐发展。

Objective ：To analyze the clinical effect of excellent nursing in emergency patients with abdominal pain and its impact on the quality of life. Methods ： A total of 124 cases of emergency patients with abdominal pain in our hospital from December 2016 to December 2017 were selected and divided into two groups according to the random number table method. The control group（62 cases of patients） were given routine nursing. The observation group（62 cases of patients） were given excellent nursing based on the control group. The pain relief time, numbers of occurrence every day and pain scores, immunofluorescence analyzer detection of serum C-reactive protein （CRP） content, ELISA detection of serum interleukin 6（IL-6） and tumor necrosis factor-α （TNF-α） were measured. The quality of life and nursing satisfaction were observed. Results ： After treatment, the VAS score, remission time and number of occurrence of the observation group were lower than the control group（ P〈 0.05）. The serum CRP, TNF-α and IL-6 levels of the two groups after nursing were significantly lower than before nursing（ P〈 0.05）, and the effect of the observation group was better. The mental health, emotional role, body function, social function and energy scores of the observation group were higher than the control group, and the differences were statistically significant （ P〈 0.05）. The overall satisfaction rate of the observation group was 95.16%, which was higher than the control group （69.35%）, the difference was statistically significant （ P〈 0.05）. Conclusion ： The excellent nursing can obviously improve the curative effect and quality of life of patients with emergency abdominal pain, promote the harmonious development of nurse-patient relationship.