摘要
目的:探究早期主动性护理干预联合营养指导在重症胰腺炎手术患者中的应用价值。方法:选取行手术治疗的重症胰腺炎患者86例,采用简单抽样法分为对照组和观察组,每组43例。对照组给予常规护理干预,观察组在对照组基础上给予早期主动性护理干预联合营养指导护理。比较两组抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)评分及慢性生理状况评分(acute physiology and chronic health evaluationⅡ,APACHEⅡ);比较两组患者干预前后生活质量测定量表(scores of quality of life-brief scale,QOL-BREF);CT严重指数(CT severity index,CTSI)分级、肛门排气时间、排便时间、腹痛缓解时间及住院时间;统计两组术后并发症发生情况。结果:观察组干预后SAS、SDS评分及APACHEⅡ评分低于对照组,干预后QOL-BREF评分高于对照组(P<0.05);观察组干预后CTSI分级优于对照组,肛门排气时间、排便时间、腹痛缓解时间及住院时间均短于对照组(P<0.05);观察组术后并发症发生率低于对照组(P<0.05)。结论:将早期主动性护理干预联合营养指导应用于重症胰腺炎患者围术期护理干预中,可减轻患者焦虑、抑郁程度,缩短临床症状缓解时间,可降低术后并发症发生率,提高生活质量。
Objective:To explore application value of early active nursing intervention combined with nutrition guidance in patients undergoing severe pancreatitis surgery.Methods:All 86 patients with severe pancreatitis who underwent surgery were chosen,and divided into the control group and the observation group,43 cases each group.The control group accepted conventional nursing intervention,and the observation group early active nursing intervention combined with nutrition guidance.To compare SDS,SAS scores and the scores of APACHEⅡbetween both groups;to compare QOL-BREF before and after the intervention between both groups;to compare CTSI classification,anal exhaust time,defecation time,relief time of abdominal pain and hospitalization time before and after the intervention between both groups;to analyze the incidence of the complications in both groups.Results:The observation group was lower than the control group in SDS and SAS scores,and the scores of APACHEⅡafter the intervention,higher than the control group in QOL-BREF scores after the intervention(P<0.05);the observation group was better than the control group in CTSI classifica-tion after the intervention,shorter than the control group in anal exhaust time,defecation time,relief time of abdominal pain and hospitalization time(P<0.05);the observation group was lower than the control group in the incidence of the complications after the surgery(P<0.05).Conclusion:Early active nursing intervention combined with nutrition guidance in perioperative nursing intervention for the patients with severe pancreatitis could relieve anxiety and depression,shorten relief time of clinical symptoms,reduce the incidence of postoperative complica-tions and lift quality of life.
作者
何梦婧
赵红梅
徐晓
HE Mengjing;ZHAO Hongmei;XU Xiao(Beijing Jishuitan Hospital,Beijing 100096,China)
出处
《西部中医药》
2021年第2期113-117,共5页
Western Journal of Traditional Chinese Medicine
关键词
重症胰腺炎
早期主动性护理干预
营养指导
肠内营养
severe pancreatitis
early active nursing intervention
nutrition guidance
enteral nutrition
