风险预警护理模式结合医护一体化查房在重症胰腺炎患者中的应用研究

Application study of risk early warning nursing model combined with integrated medical and nursing rounds in patients with severe pancreatitis

目的探讨风险预警护理模式结合医护一体化查房在重症胰腺炎患者中的应用效果。方法选取2020年8月至2022年8月赣州市人民医院收治的82例重症胰腺炎患者作为研究对象,按照随机数字表法将其分为对照组(41例)、观察组(41例),对照组采用常规护理,观察组采取风险预警护理模式+医护一体化查房护理,两组均持续干预观察至患者出院。比较两组患者的康复情况、不良情绪、并发症发生率和护理满意度。结果两组患者干预前的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);观察组干预后的SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者的排气恢复时间、呼吸机撤离时间与住院时长均短于对照组,差异有统计学意义(P<0.05)。观察组的并发症总发生率为4.88%(2/41),低于对照组的21.95%(9/41),差异有统计学意义(P<0.05)。观察组护理总满意度为95.12%(39/41),高于对照组的80.49%(33/41),差异有统计学意义(P<0.05)。结论风险预警护理模式结合医护一体化查房可加快重症胰腺炎患者康复,缓解患者不良情绪,并发症较少,患者满意度更高。

Objective To explore the application effect of risk early warning nursing model combined with integrated medical and nursing rounds in patients with severe pancreatitis.Methods A total of 82 patients with severe pancreatitis admitted to Ganzhou People's Hospital from August 2020 to August 2022 were selected as the research objects.According to the random number table method,they were divided into the control group(41 cases)and the observation group(41 cases).Patients in the control group received routine nursing,w hile patients in the observation group received risk early warning nursing model+integrated medical and nursing rounds.Both groups were observed continuously until the patients were discharged.The rehabilitation,bad mood,incidence of complications and nursing satisfaction were compared between the two groups.Results There were no statistically significant differences in the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between the two groups before intervention(P>0.05).The SAS and SDS scores of the observation group after intervention were lower than those of the control group,and the differences were statistically significant(P<0.05).The exhaust recovery time,ventilator weaning time and hospitalization time of the observation group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was 4.88%(2/41),which was lower than 21.95%(9/41)in the control group,and the difference was statistically significant(P<0.05).The total nursing satisfaction of the observation group was 95.12%(39/41),which was higher than 80.49%(33/41)of the control group,and the difference was statistically significant(P<0.05).Conclusion Risk early warning nursing model combined with integrated medical and nursing rounds can accelerate the recovery of patients with severe pancreatitis,relieve the patients'negative emotions,have fewer complications and higher patient satisfaction.