Application of psychological intervention in intensive care unit nursing for patients with severe acute pancreatitis

BACKGROUND Severe acute pancreatitis(SAP)is a familiar critical disease in the intensive care unit(ICU)patients.Nursing staff are important spiritual pillars during the treatment of patients,and in addition to routine nursing,more attention needs be paid to the patient’s psychological changes.AIM To investigate the effects of psychological intervention in ICU patients with SAP.METHODS One hundred ICU patients with SAP were hospitalized in the authors’hospital between 2020 and 2023 were selected,and divided into observation and control groups per the hospitalization order.The control and observation groups received routine nursing and psychological interventions,respectively.Two groups are being compared,using the Self-rating Anxiety Scale(SAS),Self-Determination Scale(SDS),Acute Physiology and Chronic Health Evaluation(APACHE)Ⅱ,and 36-item Short Form Health Survey(SF-36)scores;nursing satisfaction of patients;ICU care duration;length of stay;hospitalization expenses;and the incidence of complications.RESULTS After nursing,the SDS,SAS,and APACHEⅡ scores in the experimental group were significantly lower than in the control group(P<0.05).The SF-36 scores in the observation group were significantly higher than those in the control group(P<0.05).The nursing satisfaction of patients in the experimental group was 94.5%,considerably higher than that of 75.6% in the control group(P<0.05).The ICU care duration,length of stay,and hospitalization expenses in the observation group were significantly lower than those in the control group,and the incidence of complications was lower(P<0.05).CONCLUSION For patients with SAP,the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.

针刺治疗儿童腹型偏头痛案

A girl patient,seven years old,complaining intermittent periumbilical pain accompanied with headache and vomiting for almost one year.Acupuncture was adopted in treatment.Acupoints were Bǎihui(百会GV20),Yintang(印堂EX-HN3),Zhongwan(中脘CV12),Tàiyáng(太阳EX-HN5),Wangu(完骨GB12),Hegu(合谷LI4),Tianshū(天枢ST25),Zusānli(足三里ST36),Sānyinjiao(三阴交SP6)and TAichong(太冲LR3),electroacupuncture,warming needling moxibustion and infrared irradiation were applied.Acupuncture and moxibustion were given once every two days and 10 treatments were as one course.After one course of treatment,the child patient narrated that the attack frequency of headache and abdominal pain was reduced,the severity alleviated and the persistent duration shortened.After two courses of treatment,abdominal pain never occurred and the child patient was recovered and had a normal life and school activity.The disease was not recurred in one-year follow-up.