循证护理在重症急性胰腺炎护理中的应用效果分析

Analysis of Application Effect of Evidence-Based Nursing in the Treatment of Severe Acute Pancreatitis

目的对在重症急性胰腺炎的临床护理工作中循证护理模式的应用及其具体效果进行分析和研究。方法方便选择该院在2017年6月—2018年3月期间收治的重症急性胰腺炎患者62例作为研究对象,按照收治日期的单双数将其划分为对照组和观察组,每组各有患者31例,通过常规护理的方式对对照组患者进行护理,在此基础之上,通过循证护理的方式对观察组患者进行护理。对两组患者的护理满意度、复发率和死亡率等进行分析和比较。结果对照组患者病死率为29.03%,痊愈率为64.51%,住院时间为(26.82±5.90)d,观察组患者病死率为3.23%,痊愈率为93.54%,住院时间为(16.42±6.05)d;对照组中14例不满意,12例比较满意,5例满意,达到了54.83%的护理满意度;观察组中2例不满意,8例比较满意,21例满意,达到了93.54%的护理满意度;两组患者在住院时间、病死率、痊愈率和护理满意度等方面相比差异有统计学意义(P<0.05)。结论在常规护理的基础上,对重症急性胰腺炎患者实施循证护理,能够有效减少患者的死亡率,降低其发生并发症的概率,并且提升患者及家属对护理工作的满意度,值得在临床中予以进一步的推广和应用。

Objective To analyze and study the application of evidence-based nursing mode and its specific effects on the clinical nursing work of severe acute pancreatitis.Methods A total of 62 patients with severe acute pancreatitis admitted to our hospital from June 2017 to March 2018 were convenient selected and enrolled in the study.They were divided into control group and observation group according to the single and double numbers of the date of admission.Each group had 31 patients.The patients in the control group were treated by routine nursing.On this basis,the patients in the observation group were treated by evidence-based nursing.The nursing satisfaction,recurrence rate and mortality of the two groups of patients were analyzed and compared.Results The mortality rate of the control group was 29.03%,the cure rate was64.51%,and the hospital stay was(26.82±5.90)days.The mortality rate of the observation group was 3.23%,the cure rate was 93.54%,and the hospital stay was(16.42±6.05)days.Fourteen cases were unsatisfied in the control group,12 cases were quite satisfied,5 cases were satisfactory,and 54.83%of the nursing satisfaction was achieved.Two cases were unsatisfied in the observation group,8 cases were quite satisfied,21 cases were satisfactory,and 93.54%of the patients were satisfied.The difference in hospitalization time,mortality,cure rate and nursing satisfaction between the two groups was statistically significant(P<0.05).Conclusion On the basis of routine nursing,the implementation of evidence-based nursing for patients with severe acute pancreatitis can effectively reduce the mortality rate of patients and the probability of complications,and improve the satisfaction of patients and their families on nursing work.It is worthy of clinical Further promotion and application.