摘要
目的探讨综合护理模式在重症急性胰腺炎患者床旁连续性血液净化治疗中的临床应用价值。方法选择2019年7月—2020年7月本院收治的重症急性胰腺炎患者64例,按随机数字表法分为两组,各32例。对照组予以常规护理,观察组予以综合护理模式。对比分析两组心理状态、急性生理学慢性健康状况评分系统(APACHEⅡ)评分、并发症发生率。结果干预前,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)、APACHEⅡ评分比较,差异无统计学意义(t=0.172,P=0.864、t=0.013,P=0.990、t=0.069,P=0.945);干预后,观察组SAS、SDS、APACHEⅡ评分为(39.28±3.41)、(40.32±4.07)、(11.31±1.37),低于对照组的(46.21±4.19)、(46.75±5.08)、(18.23±1.62)(t值分别为7.257、5.588、18.451,P值均<0.01);观察组并发症发生率为6.25%,低于对照组的28.13%(χ^(2)=5.379,P=0.020)。结论综合护理模式能够改善连续性血液净化治疗的重症急性胰腺炎患者心理状态,减少并发症,保障患者生命安全。
ObjectiveTo explore the clinical value of comprehensive nursing model in the treatment of bedside continuous blood purification in the patients with severe acute pancreatitis.MethodsA total of 64 patients with severe acute pancreatitis were selected from July 2019 to July 2020,and they were divided into a control group and an observation group according to the random number table method with 32 cases in each group.The control group was given the routine care,and the observation group was given the comprehensive nursing mode.The mental states,acute physiology and chronic health evaluationⅡ(APACHEⅡ)scores,incidences of complications were analyzed and compared between the two groups.ResultsBefore the intervention,the self-rating anxiety scale(SAS),self-rating depression scale(SDS)and APACHEII scores were compared between the two groups and there were no statistically significant differences(t=0.172,P=0.864,t=0.013,P=0.990,t=0.069,P=0.945).After the intervention,the SAS,SDS,APACHEⅡscores of the observation group were(39.28±3.41),(40.32±4.07),(11.31±1.37)respectively,which were lower than those of the control group[(46.21±4.19),(46.75±5.08),(18.23±1.62)respectively,(t=7.257,5.588,18.451,and all P values<0.01).The incidence of complications of the observation group was 6.25%,which was less than that of the control group(28.13%,χ^(2)=5.379%,P=0.020).ConclusionThe comprehensive nursing model can improve the mental state of patients with severe acute pancreatitis treated with continuous blood purification,reduce the complications,and ensure the safety of the patients.
作者
单海霞
郭梅娟
吕银雪
张茜
SHAN Hai-xia;GUO Mei-juan;LU Yin-xue;ZHANG Xi(First Department of General Surgery,Xinxiang Central Hospital,Xinxiang 453000,Henan,China)
出处
《中国校医》
2021年第12期901-903,共3页
Chinese Journal of School Doctor
关键词
重症急性胰腺炎
床旁连续性血液净化
综合护理模式
心理状态
并发症
severe acute pancreatitis
bedside continuous blood purification
comprehensive nursing model
mental state
complication
