重症急性胰腺炎集束化护理与早期肠内营养干预

Clustering nursing combined with early enteral nutrition for the treatment of severe acute pancreatitis

目的探讨集束化护理联合早期肠内营养干预对重症急性胰腺炎治疗效果。方法选取82例重症急性胰腺炎患者,随机分为对照组与治疗组,各41例。在常规治疗的基础上,对照组采用常规护理联合早期肠内营养干预的方式,治疗组采用集束化护理联合早期肠内营养进行干预,对比观察2组患者的并发症发生率、护理满意度。结果治疗组患者急性呼吸窘迫综合征(ARDS)、消化道出血、肾衰竭、心力衰竭、静脉血栓、弥漫性血管内凝血(DIC)的并发症发生率显著低于对照组(P <0. 05);治疗组患者的满意度显著高于对照组(P <0. 05)。结论集束化护理联合早期肠内营养干预可提升重症急性胰腺炎的治疗效果,患者住院时间缩短,并发症减少,护理满意度提高。

Objective To investigate effect of clustering nursing combined with early enteral nutrition intervention on treatment efficacy of severe acute pancreatitis. Methods A total of 82 patients with severe acute pancreatitis admitted to our hospital were randomly divided into control group （41 cases） and treatment group （41 cases）. The control group was treated with routine nursing combined with early enteral nutrition intervention, and the treatment group was treated with cluster nursing combined with early enteral nutrition. The incidence of complications and satisfaction of nursing were observed in the two groups. Results The treatment group had lower incidence of complications such as acute respiratory distress syndrome （ARDS）, gastrointestinal bleeding, renal failure, heart failure, venous thrombosis, disseminated intravascular coagulation（DIC） （ P 〈0.05）. Nursing satisfaction in the treatment group was significantly higher than that in the control group （ P 〈0.05）. Conclusion Cluster nursing combined with early enteral nutrition intervention has a significant efficacy for the treatment of severe acute pancreatitis, and can shorten hospitalization time, reduce complications, and nursing satisfaction.