认知干预护理对重症胰腺炎患者疾病认知及生活质量的影响

Effect of Cognitive Intervention Nursing on Disease Cognition and Quality of Life in Patients with Severe Pancreatitis

目的:探讨重症胰腺炎患者接受认知干预护理对疾病认知及生活质量的提升效果。方法:回顾性分析2019年8月—2021年3月开封市人民医院收治的150例重症胰腺炎患者的病历资料,采用序贯法分为甲组和乙组,每组各75例。甲组采用认知干预护理,乙组给予常规护理。护理1个月后观察效果,记录患者治愈率、死亡率、并发症发生情况、住院时间及临床症状缓解时间,评定患者护理前后舒适感评分、疾病认知评分及生活质量评分变化。结果:甲组治愈率高于乙组,死亡率低于乙组,差异有统计学意义(χ^(2)=4.438、2.214,P<0.05)。甲组并发症发生率为5.33%,明显低于乙组的20.00%,差异有统计学意义(χ^(2)=6.027,P<0.05)。甲组住院时间、临床症状缓解时间均短于乙组,差异有统计学意义(t=44.093、12.768,P<0.05)。护理后,两组患者舒适感评分、疾病认知评分及生活质量评分均高于护理前,且甲组明显高于乙组,差异有统计学意义(t=12.915、30.091、20.135,P<0.05)。结论:重症胰腺炎患者接受认知干预护理,能够有效提升治愈率,降低死亡率及并发症发生率,提高患者的舒适感、认知水平及生活质量。

Objective:To explore the effect of cognitive intervention nursing on the improvement of disease cognition and quali⁃ty of life in patients with severe pancreatitis.Methods:The medical records of 150 patients with severe pancreatitis admitted to the hospital from August 2019 to March 2021 were retrospectively analyzed and divided into group A and group B using the sequential method,with 75 cases in each group.Group A was given cognitive intervention care and group B was given conventional care.The effect was observed after 1 month of care,and the patients’cure rate,mortality rate,complication occurrence,hospitalization time and clinical symptom relief time were recorded,and the changes of patients’comfort score,disease perception score and quali⁃ty of life score before and after care were evaluated.Results:The cure rate of group A was 97.33%,which was higher than that of group B(86.67%),and the mortality rate of group A was 2.67%,which was lower than 13.33%of group B,with statistically signifi⁃cant differences(χ^(2)=4.438,2.214,P<0.05).The complication rate in group A was 5.33%,which was lower than 20.00%in group B,the difference was statistically significant(χ^(2)=6.027,P<0.05).The duration of hospitalization and clinical symptom relief were shorter in group A than in group B,and the differences were statistically significant(t=44.093,12.768,P<0.05).After care,the comfort scores,disease perception scores and quality of life scores of patients in both groups were higher than those before care,and group A was significantly higher than group B,and the differences were statistically significant(t=12.915,30.091,20.135,P<0.05).Conclusion:Patients with severe pancreatitis receiving cognitive intervention care can effectively improve the cure rate,re⁃duce mortality and complication rates,and improve patients’comfort,cognitive level and quality of life.