循证基础下集束化护理联合情志干预应用于重症急性胰腺炎患者护理中的效果

Effect of evidence-based cluster nursing combined with emotional intervention on the nursing of patients with severe acute pancreatitis

目的探究循证基础下集束化护理联合情志干预应用于重症急性胰腺炎(SAP)患者的效果。方法选取2016年5月至2020年5月于滨州医学院附属医院就诊的96例SAP患者作为研究对象,采用简单随机抽样法分为观察组和对照组,每组48例。对照组患者采用情志干预联合常规护理,观察组患者采用情志干预联合循证基础下集束化护理。比较2组护理前后的血脂肪酶、淀粉酶水平,以及生存质量和临床症状缓解时间。结果2组在护理1个月后的血清脂肪酶和淀粉酶水平均较同组护理前降低(P均<0.05);观察组的血清脂肪酶和淀粉酶水平均低于对照组(P均<0.05)。观察组的腹痛消失时间、退热时间、腹胀缓解时间和胃肠道功能恢复时间均早于对照组(P均<0.05)。2组在护理1个月后的生理功能、心理因素、环境状况和社会功能评分均较护理前升高(P均<0.05);观察组的生理功能、心理因素、环境状况和社会功能评分均较对照组更高(P均<0.05)。结论循证基础下集束化护理联合情志干预可加快SAP患者的康复进程,改善其康复效果,提高其生存质量。

Objective To explore the effect of evidence-based cluster nursing combined with emotional intervention on the patients with severe acute pancreatitis(SAP).Methods Ninety-six patients with SAP who were treated at Binzhou Medical University Hospital from May 2016 to May 2020 were enrolled.They were divided into an observation group and a control group by simple random sampling,with 48 cases in each group.The control group was given emotional intervention combined with routine nursing,while the observation group was given emotional intervention combined with evidence-based cluster nursing.The levels of serum lipase and amylase before and after nursing,quality of life,and relief time of clinical symptoms were compared between the two groups.Results After 1 month of nursing,the levels of serum lipase and amylase in the two groups were lower than those before nursing(all P<0.05),and the levels of serum lipase and amylase in the observation group were lower than those in the control group(both P<0.05).The abdominal pain disappearance time,fever subsidence time,abdominal distension relief time,and gastrointestinal function recovery time in the observation group were shorter than those in the control group(all P<0.05).After 1 month of nursing,the scores of physical function,psychological factors,environmental status,and social function in the two groups were higher than those before nursing(all P<0.05),and the scores of physical function,psychological factors,environmental status,and social function in the observation group were higher than those in the control group(all P<0.05).Conclusion Evidence-based cluster nursing combined with emotional intervention can speed up the recovery of SAP patients,improve the recovery effect,and improve their quality of life.