家属参与护理对急性胰腺炎患者情绪及生活质量的影响

Effect of Family Member's Participation in Nursing on the Emotions and Quality of Life of Patients with Acute Pancreatitis

目的探讨家属参与护理对急性胰腺炎患者情绪及生活质量的影响。方法 2016年2月—2017年12月在该院住院治疗的急性胰腺炎患者84例随机分为干预组与对照组,每组42例。对照组采用传统的健康教育方式;观察组在传统的健康教育方式的基础上动员家属参与护理。观察护理前后两组患者情绪、治疗依从性、生活质量等情况。结果观察组焦虑评分(37.25±4.52)分,对照组(51.15±5.42)分,(t=12.764 2,P=0.000 0),观察组抑郁评分(38.55±5.24)分,对照组(48.83±5.74)分,(t=8.155 0,P=0.000 0);观察组社会功能(72.26±7.42)分,对照组(63.51±6.53)分,(t=5.737 0,P=0.000 0),观察组生理功能(80.26±8.14)分,对照组(71.82±7.17)分,(t=5.042 3,P=0.000 0),观察组生理职能(77.23±7.82)分,对照组(69.41±7.31)分,t=4.7343,P=0.0000,观察组躯体疼痛(74.52±7.56)分,对照组(68.22±6.87)分,(t=3.996 8,P=0.000 1),观察组活力(73.59±7.67)分,对照组(66.51±6.16)分,(t=4.664 2,P=0.000 0),观察组情感职能(74.75±7.84)分,对照组(67.68±6.79)分,(t=3.692 8,P=0.000 4),观察组精神健康(75.63±7.78)分,对照组(67.59±6.84)分,(t=5.029 8,P=0.000 0),观察组总体健康(77.32±7.64)分,对照组(70.05±7.18)分,(t=4.493 8,P=0.000 0),观察组患者治疗依从性95.24%,对照组73.81%,(χ~2=7.371 6,P=0.006 6),两组对比差异有统计学意义(P<0.05)。结论家属参与护理能改善急性胰腺炎患者情绪,增加对疾病相关知识的知晓,提高治疗依从性,改善患者生活质量,值得临床推广应用。

Objective To study the effect of family member’s participation in nursing on the emotions and quality of life of patients with acute pancreatitis. Methods 84 cases of patients with acute pancreatitis treated in our hospital from February 2016 to December 2017 were selected and randomly divided into two groups with 42 cases in each, the control group used the traditional health education way, while the observation group used the family member’s participation in the nursing on the basis of the control group, and the emotions, treatment compliance and quality of life before and after nursing were observed. Results The anxiety score in the observation group and in the control group was respectively (37.25±4.52)points and (51.15±5.42)points,(t=12.764 2, P=0.000 0), and the depression score in the observation group and in the control group was respectively (38.55±5.24)points and (8.83±5.74)points,(t=8.155 0, P=0.000 0); and the social function in the observation group and in the control group was respectively (72.26±7.42)points and (63.51±6.53)points,(t=5.737 0, P=0.000 0), and the physical function in the observation group and in the control group was respectively (80.26±8.14)points and (71.82±7.17)points,(t=5.0423, P=0.000 0), and the physical function in the observation group and in the control group was respectively (77.23±7.82)points and (69.41±7.31)points,(t=4.734 3, P=0.000 0), and the somatic pains in the observation group and in the control group was respectively (74.52±7.56)points and (68.22±6.87)points (t=3.996 8, P=0.000 1), and the vitality in the observation group and in the control group was respectively (73.59±7.67)points and (66.51±6.16)points,(t=4.664 2, P=0.000 0), and the emotional function in the observation group and in the control group was respectively (74.75±7.84)points and (67.68±6.79)points,(t=3.692 8, P=0.000 4), and the mental health score in the observation group and in the control group was respectively (75.63±7.78)points and (67.59±6.84)points,(t=5.029 8, P=0.000 0), and the total health score in the observation group and in the control group was respectively (77.32±7.64)points and (70.05±7.18)points,(t=4.493 8, P=0.000 0), and the treatment compliance in the observation group and in the control group was respectively 95.24% and 73.81%,(χ^2=7.3716, P=0.006 6), and the difference was obvious(P<0.05). Conclusion The family member’s participation in nursing can improve the emotion of patients with acute pancreatitis, increase the awareness of disease related knowledge, improve the treatment compliance and improve the quality of life, and it is worth clinical promotion and application.