ICU重症急性胰腺炎患者转出准备度干预方案的构建及应用研究

Construction and application of transfer readiness intervention program for patients with severe acutepancreatitis in ICU

目的 构建ICU重症急性胰腺炎患者转出准备度干预方案并评价其应用效果。方法 在文献研究及德尔菲专家函询基础上构建ICU重症急性胰腺炎患者转出准备度干预方案。采用便利抽样法,选取2021年7月-2022年6月在贵州省某三级甲等医院综合ICU进行治疗的66例重症急性胰腺炎患者为研究对象,分为试验组和对照组。试验组实施ICU重症急性胰腺炎患者转出准备度干预方案,对照组进行常规转出护理。比较两组患者转出准备度、医院焦虑抑郁情绪、ICU住院时间、非计划性再入院率以及ICU转出患者家属转科应激压力水平。结果 两组患者转出准备度总分及各维度得分、焦虑抑郁、ICU患者家属转科应激压力水平、ICU住院时间及非计划再入院率差异均具有统计学意义(P<0.05)。结论 ICU重症急性胰腺炎患者转出准备度干预方案可提高患者转出准备度,降低患者焦虑抑郁情绪、ICU转出患者家属转科应激压力水平、ICU住院时间和非计划再入院率。

Objective To construct a transfer readiness intervention program for patients with severe acute pancreatitis in ICU and evaluate its effectiveness.Methods sBased the literature study and the Delphi expert consultation,the transfer readiness intervention program for severe acute pancreatitis in ICU was developed.Using the convenience sampling method,66 patients with severe acute pancreatitis who were treated in the comprehensive ICU of a third-class A hospital in Guizhou Province from July 2021 to June 2022 were selected as research subjects and divided into experimental group and control group.The experimental group received the transfer readiness intervention program for ICU patients with severe acute pancreatitis,and the control group received routine transferal care.Transfer readiness,hospital anxiety and depression,length of ICU stay,unplanned readmission rate,and stress level of ICU patients'families were compared between the two groups.Results Total scores of transfer readiness and all dimensions,anxiety and depression,stress level of ICU patients'families,length of ICU stay and unplanned readmission rate were statistically different between the two groups(P<0.05).Conclusion The transfer readiness intervention program of ICU severe acute pancreatitis can improve the readiness for transfer out of ICU,reduce the anxiety and depression,the stress level of patients'families,length of ICU stay and unplanned readmission rate.