探讨医护一体化护理对保守治疗重症急性胰腺炎患者住院时间及焦虑情绪的影响

Exploring the Impact of Integrated Medical and Nursing Care on Hospitalization Time and Anxiety in Patients with Conservative Treatment of Severe Acute Pancreatitis

目的针对保守治疗的重症急性胰腺炎(Severe Acute Pancreatitis,SAP)患者行医护一体化护理模式,观察其对患者住院时间及焦虑情绪的影响。方法收集2021年9月至2023年3月在三明市第一医院行保守治疗的SAP患者80例行前瞻性研究,根据护理方案的不同分为观察组与对照组,各40例,观察组行医护一体化护理,对照组采用常规护理。比较两组症状缓解时间、住院时间、护理前后焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-ratingDepressionScale,SDS)评分、护理满意度,随访并发症情况。结果对比患者肠鸣音、高热、腹部胀痛、排便不畅症状缓解时间及住院时间,均是观察组更短,组间差异有统计学意义(P<0.05);SAS、SDS评分在护理后观察组均低于对照组及护理前(P<0.05);并发症发生率观察组低于对照组(P<0.05)。结论医护一体化护理,可提升保守治疗SAP患者康复进程,缩短住院时间,改善患者负性心理,减少并发症,患者满意度高。

Objective To observe the effect of integrated nursing mode on hospital stay and anxiety in patients with severe acute pancreatitis(SAP)with conservative treatment.Methods SAP patients(n=80)who received conservative treatment in our hospital from September 2021 to March 2023 were collected for prospective study and were divided into the observation group(n=40)and the control group(n=40)according to different nursing plans.The observation group and the control group received integrated nursing care and routine nursing,respectively.Symptom remission time,hospital stay,anxiety(SAS),depression(SDS)scores before and after care,nursing satisfaction,and follow-up complications were compared between the two groups.Results Compared to the control group,the bowel sound,high fever,abdominal distension pain,defecation symptom relief time,and hospital stay time of the observation group was shorter,and the difference between groups was P<0.05;The scores of SAS and SDS in the observation group after nursing were lower than those in the control group and those before nursing,P<0.05;The incidence of complications in the observation group was lower than that in the control group,P<0.05.Conclusion Integrated nursing can improve the rehabilitation process of SAP patients under conservative treatment,shorten the hospital stay,improve the negative psychology of patients,reduce complications.