综合护理干预对重症急性胰腺炎患者疾病不确定感及生活质量的影响

Effect of Comprehensive Nursing Interventions on the Illness Uncertainty and Quality of Life in Patients with Severe Acute Pancreatitis

目的探讨综合护理对重症急性胰腺炎患者疾病不确定感及生活质量的干预效果。方法选取2016年1月至2018年1月收治的急性胰腺炎患者60例。应用随机数字表将患者随机分为干预组和对照组,每组各30例。两组患者均给予常规护理,干预组在此基础上,给予综合护理干预,包括全程健康教育、重视患者的疼痛管理、早期营养支持护理、实施舒适护理、严密监测病情变化、加强心理护理及做好出院指导等。在入院时及出院时,分别用疾病不确定感量表和生活质量评价量表对两组患者进行调查。结果干预前,两组患者疾病不确定感各维度比较无统计学差异(P>0.05)。干预后,干预组患者疾病不确定感各维度均较干预前明显改善(P<0.05);对照组患者除了不明确性维度,其他疾病不确定感各维度均较干预前明显改善(P<0.05);干预组患者疾病不确定感各维度均较对照组改善明显(P<0.05)。干预前,两组患者生活质量各维度比较无统计学差异(P>0.05);干预后,两组患者生活质量各维度均较干预前明显改善(P<0.05);干预组患者生活质量各维度均较对照组改善明显(P<0.05)。结论重症急性胰腺炎患者存在疾病不确定感,综合护理干预能减轻患者疾病不确定感,改善患者生活质量。

Objective To explore the effect of comprehensive nursing interventions on the uncertainty of disease and the quality of life in patients with severe acute pancreatitis. Methods A total of sixty patients with acute pancreatitis admitted from January 2016 to January 2018 were randomly divided into intervention group(n=30) and control group(n=30).Two groups of patients were given routine nursing care,while the intervention group were given the comprehensive nursing interventions,including health education,pain managemen,early nutrition support,comfortable nursing and close monitoring the changes of patient's condition,psychological nursing and discharge guidance.At the time of admission and discharge,two groups of patients were investigated with the mishel uncertainty in illness Scale and the SF-36 health Survey. Results Before the intervention,there was no statistical difference between the two groups in patient's illness uncertainty( P >0.05).After the intervention,all the dimensions of the patient's illness uncertainty in the intervention group were significantly lower than those before the intervention( P <0.05).In addition to the unidentified dimension,the dimensions of the illness uncertainty of the patients in the control group were significantly lower than those before the intervention( P <0.05).All the dimensions of the patient's illness uncertainty in the intervention group were lower than those in the control group( P <0.05).Before the intervention,there was no statistical difference in the quality of life between the two groups( P <0.05).After the intervention,the quality of life of the patients in the intervention group improved significantly,compared with that before the intervention( P <0.05).The quality of life of the control group was significantly better than that before the intervention( P <0.05).The quality of life of the patients in the intervention group was better than that in the control group( P <0.05). Conclusion The patients with severe acute pancreatitis have the illness uncertainty,and the comprehensive nursing intervention can reduce the patient's illness uncertainty and improve their quality of life.