岭南急诊医学杂志2024,Vol.29Issue(4) :352-354.DOI:10.3969/j.issn.1671-301X.2024.04.011

营养指导联合MDT协作模式应用于急性胰腺炎患者的效果

Effect of Nutritional Guidance Combined with MDT in Patients with Acute Pancreatitis

李育三
岭南急诊医学杂志2024,Vol.29Issue(4) :352-354.DOI:10.3969/j.issn.1671-301X.2024.04.011

营养指导联合MDT协作模式应用于急性胰腺炎患者的效果

Effect of Nutritional Guidance Combined with MDT in Patients with Acute Pancreatitis

李育三1
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作者信息

  • 1. 广东省广州市番禺区中医院急诊科(511400)
  • 折叠

摘要

目的:在急性胰腺炎患者临床诊断治疗环节中采取营养指导+MDT协作模式联合干预方案,探索研究此联合方案的运用效果.方法:选取广州市番禺区中医院急诊科近两年期间收治的急性胰腺炎患者(样本纳入时间:2020.03至2022.12;样本纳入例数:80例).以数字随机表法为基本分析原则,即对照、实验两个小组;前后两组分别实施常规护理+营养指导、营养指导+MDT协作模式.探索分析两组运用效果.结果:与对照组(常规护理+营养指导)相比,观察组(营养指导+MDT协作模式)并发症(消化道出血/肺部感染/急性呼吸窘迫综合征等)发生率发生率(5.00%vs 17.50%)、腹痛消失时间[(2.21±0.35)vs(4.84±0.78)d]、排气功能恢复时间[(3.14±0.46)vs(6.16±1.76)d]均更低(P<0.05).与对照组(常规护理+营养指导)相比,观察组(营养指导+MDT协作模式)护理后生活质量评分[(80.28±4.52)vs(71.17±5.36)分]、对疾病知识掌握评分[(95.52±2.27)vs(83.38±2.29)分]均更高(P<0.05).结论:在急性胰腺炎患者临床诊断治疗环节中采取营养指导+MDT协作模式联合干预方案,临床治疗效果显著.

Abstract

Objective:To explore and study the effect of nutritional guidance+MDT collaborative intervention scheme in the clinical diagnosis and treatment of patients with acute pancreatitis.Methods:Patients with acute pancre-atitis admitted to the emergency Department of Panyu District Hospital of Traditional Chinese Medicine in Guangzhou in the past two years were selected(sample inclusion time:2020.03 to 2022.12;Sample size:80 cases).The numerical random table method is used as the basic analysis principle,namely control group and experiment group.The coopera-tive mode of routine nursing+nutrition guidance and nutrition guidance+MDT was implemented respectively in the two groups before and after.Explore and analyze the application effect of the two groups.Result:Compared with the control group(usual care+nutritional guidance),The incidence of complications(gastrointestinal bleeding/pulmonary infection/acute respiratory distress syndrome,etc.)in the observation group(nutritional guidance+MDT cooperative mode)was 5.00%vs 17.50%,the time for abdominal pain to disappear[(2.21±0.35)vs(4.84±0.78)d],and the time for exhaust function to recover[(3.14±0.46)vs(6.16±1.76)d]were lower(P<0.05).Compared with the control group(routine care+nutritional guidance),the score of quality of life[(80.28±4.52)vs(71.17±5.36)points]and the score of dis-ease knowledge[(95.52±2.27)vs(83.38±2.29)points in the observation group(nutritional guidance+MDT collabora-tive mode)after nursing were higher(P<0.05).Conclusion:In the clinical diagnosis and treatment of patients with acute pancreatitis,the combined intervention program of nutritional guidance and MDT cooperative mode is effective.

关键词

营养指导/MDT协作模式/急性胰腺炎/并发症/生活质量/对疾病知识掌握

Key words

nutritional guidance/MDT collaboration mode/acute pancreatitis/complications/quality of life/knowledge of disease

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出版年

2024
岭南急诊医学杂志
广东省医学会

岭南急诊医学杂志

影响因子:0.437
ISSN:1671-301X
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