加速康复外科护理在经皮穿刺置管引流术治疗重症胰腺炎中的应用效果

Application effect of fast tract surgery nursing in percutaneous catheter drainage for severe pancreatitis

目的探讨加速康复外科护理在经皮穿刺置管引流术(PCD)治疗重症胰腺炎中的应用效果。方法选取2015年6月至2018年6月我院收治的80例实施PCD的重症胰腺炎患者为研究对象,按照护理方式的不同将其分为对照组(40例,常规护理)与观察组(40例,常规护理+加速康复外科护理)。比较两组患者的护理效果。结果护理后,两组的依从性及认知情况评分均显著升高,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组的SAS、SDS及APACHEⅡ评分均显著降低,且观察组低于对照组,差异有统计学意义(P<0.05);观察组的肠鸣音恢复时间、肛门排气时间、腹胀缓解时间及住院时间均短于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论加速康复外科护理在PCD治疗重症胰腺炎中的应用效果显著,可以提高患者的认知情况及依从性,缩短其肠功能恢复正常时间及住院时间,降低术后并发症发生率,减轻焦虑抑郁情绪,改善患者的预后,值得推广。

Objective To explore the application effect of fast tract surgery nursing in percutaneous catheter drainage (PCD) for severe pancreatitis. Methods Eighty patients with severe pancreatitis undergoing PCD admitted in our hospital from June 2015 to June 2018 were selected as the research objects. The patients were divided into control group (40 cases, routine nursing) and observation group (40 cases, routine nursing+fast tract surgery nursing) according to different nursing methods. The nursing effects of the two groups were compared. Results After nursing, the scores of compliance and cognition in the two groups improved significantly, and those in the observation group were higher than the control group, and the differences were statistically significant (P<0.05). After nursing, the scores of SAS, SDS and APACHE Ⅱ in the two groups reduced significantly, and those in the observation group were lower than the control group, the differences were statistically significant (P<0.05). The recovery time of bowel sounds, anal exhaust time, abdominal distension relief time and hospitalization time in the observation group were shorter than those in the control group, and the incidence of complications was lower than that in the control group, and the differences were statistically significant (P<0.05). Conclusion The application of fast tract surgery nursing in PCD for severe pancreatitis has remarkable effect. It can improve the cognitive status and compliance, shorten the time of intestinal function recovery and hospitalization time, reduce the incidence of complications after operation, alleviate anxiety and depression, and ameliorate the prognosis of patients. It is worth promoting.