基于病情分级的降阶梯思维性急救措施对急性胰腺炎患者临床症状改善效果及预后情况的影响
Effect of step-down thinking emergency measures based on disease grading on improvement of clinical symp-toms and prognosis of patients with acute pancreatitis
邓素锦 1李艳 2张丽1
作者信息
- 1. 323000 浙江丽水,温州医科大学附属第五医院丽水市中心医院急诊医学科
- 2. 323000 浙江丽水,温州医科大学附属第五医院丽水市中心医院肿瘤中心
- 折叠
摘要
目的 基于病情分级的降阶梯思维性急救措施对急性胰腺炎患者临床症状改善效果及预后情况的影响.方法 选择急性胰腺炎患者116 例,按照随机数字表法分为试验组和对照组,各58 例.试验组接受基于病情分级的降阶梯思维性急救措施及常规干预,对照组接受常规干预,两组均干预至出院.比较两组临床症状改善效果、疼痛及预后和满意度的差异.结果 试验组患者的退热时间、排气时间、经口进食恢复时间、住院时间均短于对照组,差异均有统计学意义(t分别=9.05、16.18、7.09、5.45,P均＜0.05).干预1 周后,试验组患者的疼痛数字分级法(NRS)评分、血清脂肪酶(LPS)、淀粉酶(AMY)水平均低于对照组,差异均有统计学意义(t分别=15.44、11.98、7.12,P均＜0.05).出院时,试验组患者对护理技能、健康宣传、应急措施满意度评分均高于对照组,差异均有统计学意义(t分别=11.17、9.02、8.39,P均＜0.05).结论 基于病情分级的降阶梯思维性急救措施干预可加快改善急性胰腺炎患者临床症状,缓解疼痛,改善预后指标,降低并发症发生风险,获得患者认可.
Abstract
Objective To investigate the effect of step-down thinking emergency measures based on disease grading on the improvement of clinical symptoms and prognosis of patients with acute pancreatitis.Methods A total of 116 pa-tients with acute pancreatitis were selected and divided into the experimental group and the control group with 58 cases in each group according to random number table method.The experimental group received the descending ladder thinking first aid measures and routine intervention based on disease grading,and the control group received routine intervention,and both groups were intervened until discharge.The improvement effect of clinical symptoms,pain,prognosis and satis-faction were compared between the two groups.Results The fever reduction time,exhaust time,recovery time through oral feeding and hospitalization time of the experimental group were shorter than those of the control group,with statisti-cal significance(t=9.05,16.18,7.09,5.45,P＜0.05).After 1 week of intervention,the score of numeric rating scale(NRS),serum levels of lipase(LPS)and amylase(AMY)of the experimental group were lower than those of the con-trol group,with statistical significance(t=15.44,11.98,7.12,P＜0.05).At discharge,satisfaction scores of nursing skills,pain digital scale health promotion and emergency measures of the experimental group were higher than those of the con-trol group,with statistical significance(t=11.17,9.02,8.39,P＜0.05).Conclusion The step-down thinking emergency intervention based on disease grading could accelerate the improvement of clinical symptoms in patients with acute pan-creatitis,relieve pain,improve prognostic indicators,reduce the risk of complications,and gain patients'recognition.
关键词
急性胰腺炎/病情分级/降阶梯思维性急救措施/临床症状/预后/疼痛Key words
acute pancreatitis/disease classification/descending ladder thinking first aid measures/clinical symptoms/prognosis/pain引用本文复制引用
出版年
2024
NETL
NSTL
万方数据