家属参与护理在急性胰腺炎患者中的应用效果

Application effects of nursing with family involvement in nursing in patients with acute pancreatitis

目的:观察家属参与护理在急性胰腺炎(AP)患者中的应用效果。方法:选取2020年1月至2021年6月该院收治的79例AP患者进行前瞻性研究,按照随机数字表法分为观察组40例和对照组39例。对照组给予常规护理,观察组在对照组基础上给予家属参与护理,比较两组症状缓解时间、护理前后负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMA)]评分、护理后生命质量[健康状况调查简表(SF-36)]评分及护理满意度。结果:观察组腹胀、腹痛消失时间,以及肠鸣音、淀粉酶水平恢复正常时间均短于对照组,差异有统计学意义(P<0.05);护理后,观察组HAMA、HAMD评分均低于对照组,SF-36各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为97.50%(39/40),高于对照组的76.92%(30/39),差异有统计学意义(P<0.05)。结论:家属参与护理用于AP患者,可加快患者症状缓解,减轻其负性情绪,提高其生命质量和护理满意度,效果优于常规护理。

Objective: To explore application effects of nursing with family involvement in nursing in patients with acute pancreatitis(AP).Methods: A prospective study was conducted on 79 patients with AP admitted to the hospital from January 2020 to June 2021. They were divided into observation group(40 cases) and control group(39 cases) according to the random number table method. The control group was given routine nursing, while the observation group was added with the nursing with family involvement. The symptom relief time, the score of negative emotion [hamilton anxiety scale(HAMA), hamilton depression scale(HAMA)] before and after nursing, the quality of Life after care [brief form of health status survey(SF-36)] score, and the nursing satisfaction were compared between the two groups. Results: The disappearance time of abdominal distension and abdominal pain, the recovery time of bowel sounds and amylase levels in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05). After the nursing, the HAMA and HAMD scores of the observation group were lower than those of the control group, the score of each dimension of SF-36 were higher than those of the control group, and the differences were statistically significant(P<0.05).Further, the total satisfaction rate of the observation group was 97.50%(39/40), which was higher than 76.92%(30/39) of the control group, and the difference was statistically significant(P<0.05). Conclusions: The nursing with family involvement for the AP patients can accelerate the relief of symptoms,reduce their negative emotions, and improve their quality of life and the nursing satisfaction. Moreover, it is superior to the routine nursing.