ICU重症急性胰腺炎心理特征及干预对策

Psychological Characteristics and Intervention Measures of Severe Acute Pancreatitis in ICU

目的探讨ICU重症急性胰腺炎患者的心理特征及干预对策。方法将2014年7月—2019年7月于该院就诊的30例ICU重症急性胰腺炎患者采用盲选分组法分为对照组和观察组,各15例。对照组给予常规护理,观察组在常规护理基础上开展针对性心理干预。对比两组护理前后的心理状态、住院相关指标、护理满意度水平和生活质量水平。结果护理前,两组的焦虑水平、抑郁水平、强迫症状和人际关系敏感情况评分相比差异无统计学意义(P>0.05);护理后,观察组的焦虑水平、抑郁水平、强迫症状和人际关系敏感情况评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组的ICU住院时长和总住院时长均短于对照组,其总住院治疗费用少于对照组(P<0.05);观察组的护理总满意度评分明显高于对照组(P<0.05)。护理后,观察组的生理功能、心理健康、情感角色、躯体疼痛、社会能力及总体健康水平评分均高于对照组(P<0.05)。结论依据ICU重症急性胰腺炎患者的心理特征为其实施相应的心理干预措施,可明显改善患者的心理状态,缩短住院时长,提升护理满意度及生活质量水平,值得进行推广应用。

Objective To explore the psychological characteristics and intervention strategies of patients with severe acute pancreatitis in ICU. Methods Thirty patients with severe acute pancreatitis in ICU who were treated in our hospital from July 2014 to July 2019 were divided into control group and observation group by blind selection and grouping method,with 15 cases in each group. The control group was given routine nursing care,and the observation group carried out targeted psychological intervention on the basis of routine nursing. The psychological state,hospitalization-related indicators,nursing satisfaction level and quality of life level of the two groups before and after nursing were compared. Results Before nursing,there was no significant difference in the anxiety level,depression level,obsessive-compulsive symptoms and interpersonal sensitivity scores between the two groups(P>0.05);after nursing,the anxiety level,depression level,obsessive-compulsive symptoms and interpersonal relationship of the observation group were significantly lower than those of the control group,with significant differences(P<0.05). The length of ICU hospitalization and total length of stay in the observation group were shorter than those in the control group,and the total hospitalization cost was less than that of the control group(P<0.05);the total nursing satisfaction score of the observation group was significantly higher than that of the control group(P<0.05). After nursing,the observation group’s physical function,mental health,emotional role,physical pain,social ability and overall health scores were all higher than those of the control group(P<0.05). Conclusion According to the psychological characteristics of patients with severe acute pancreatitis in ICU,the implementation of corresponding psychological intervention measures can significantly improve the psychological state of patients,shorten the length of hospitalization,improve nursing satisfaction and quality of life,and are worthy of popularization and application.