AGI分级护理干预模式对重症胰腺炎患者心理状态及生活质量的影响

Effect of AGI graded nursing intervention model on the mental state and quality of life of patients with severe pancreatitis

目的:探讨AGI(急性胃肠损伤分级)分级护理干预模式对重症胰腺炎患者心理状态及生活质量的影响。方法:选取2019年1月至2020年9月收治的94例重症胰腺炎患者分为干预组和对照组。对照组给予常规护理,干预组给予AGI分级护理干预模式,比较两组患者干预前后SDS、SAS评分、胃肠功能恢复时间、生活质量评分及对护理服务满意率。结果:干预前两组患者SDS、SAS评分无显著性差异(P>0.05);干预后两组患者SDS、SAS评分均显著下降,且干预后干预组患者SDS、SAS评分均显著低于对照组患者(P<0.05)。干预组患者腹痛缓解时间、腹胀缓解时间、肠鸣音恢复时间、排气恢复时间、排便恢复时间较对照组患者显著缩短(P<0.05)。干预前两组患者QOL量表各维度评分无显著性差异(P>0.05);干预后两组患者精神状态、生理功能、社会功能、心理功能评分均显著提高,且干预后干预组精神状态、生理功能、社会功能、心理功能评分显著高于对照组患者(P<0.05)。干预组患者对护理服务满意率为93.62%,较对照组患者的78.72%显著提高(P<0.05)。结论:AGI分级护理干预模式应用重症胰腺炎的临床护理可以缩短胃肠功能恢复时间,提高生活质量,缓解患者心理状况,提高患者对于护理服务的满意度,值得推广应用。

Objective:To explore and analyze the impact of AGI(Acute Gastrointestinal Injury Grading) graded nursing intervention model on the mental state and quality of life of patients with severe pancreatitis. Methods:94 patients with severe pancreatitis admitted from January 2019 to September 2020 were selected and divided into intervention group and control group. The control group was given routine nursing care, and the intervention group was given AGI graded nursing intervention mode. SDS and SAS scores, gastrointestinal function recovery time, quality of life scores before and after intervention, and nursing services satisfaction rate were compared before and after the intervention in the two groups. Results:There was no significant difference in SDS and SAS scores between the two groups before the intervention(P>0.05). After the intervention, the SDS and SAS scores of the two groups decreased significantly, and the SDS and SAS scores of the intervention group were significantly lower after those in the control group(P<0.05). The abdominal pain relief time, abdominal distension relief time, bowel sound recovery time, exhaust recovery time, and defecation recovery time of the intervention group were significantly shorter than those in the control group(P<0.05). There was no significant difference in the scores of the QOL scale in the two groups before the intervention(P>0.05). After the intervention, the mental state, physiological function, social function, and psychological function scores of the two groups were significantly improved, and the mental state, physiological function, and the scores of social function and psychological function of the intervention group were significantly higher than those of the control group(P<0.05). The satisfaction rate of the intervention group was 93.62 %, compared with the control group 78.72 %(P<0.05). Conclusion:The application of AGI graded nursing intervention model to patients with severe pancreatitis can shorten the recovery time of gastrointestinal function, improve the quality of life, alleviate the psychological condition of patients, and improve the satisfaction of patients with nursing services. It is worthy of promotion.