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营养指导联合MDT协作模式应用于急性胰腺炎患者的效果

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

nutritional guidanceMDT collaboration modeacute pancreatitiscomplicationsquality of lifeknowledge of disease

李育三

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广东省广州市番禺区中医院急诊科(511400)

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

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
年,卷(期):2024.29(4)