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无缝隙护理在手术治疗重症急性胰腺炎患者中的应用效果

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目的:分析无缝隙护理在手术治疗重症急性胰腺炎(SAP)患者中的应用效果.方法:回顾性分析 2020 年 11 月至2022 年 10 月该院收治的 116 例SAP患者的临床资料,按照护理方法不同将其分为对照组与研究组各 58 例.两组均行内镜下清创引流手术治疗,对照组予以常规围术期护理,研究组予以无缝隙护理.比较两组术后肠道排气时间、排便时间、住院时间、治疗依从性,手术前后应激指标(舒张压、收缩压、皮质醇、心率)水平,以及并发症发生率.结果:研究组术后肠道排气时间、排便时间及住院时间均短于对照组,舒张压、收缩压、皮质醇、心率水平均低于对照组,差异有统计学意义(P<0.05);研究组总依从率为 98.28%(57/58),高于对照组的 82.76%(48/58),研究组并发症发生率为 3.45%(2/58),低于对照组的 13.79%(8/58),差异均有统计学意义(P<0.05).结论:无缝隙护理用于内镜手术治疗的SAP患者可提高其治疗依从率,缩短肠道排气时间、排便时间和住院时间,减轻术后应激反应,降低并发症发生率,效果优于常规护理.
Application effects of seamless nursing in surgical treatment of patients with severe acute pancreatitis
Objective:To explore application effects of seamless nursing in surgical treatment of patients with severe acute pancreatitis(SAP).Methods:The clinical data of 116 patients with SAP admitted to this hospital from November 2020 to October 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group and study group,58 cases in each group.Both groups were treated with endoscopic debridement and drainage.The control group was given routine perioperative nursing,while the study group was given the seamless nursing.The postoperative exhaust time,the defecation time,the hospitalization time,the treatment compliance,the stress indexes(diastolic blood pressure,systolic blood pressure,cortisol,heart rate)levels before and after the surgery,and the incidence of complications were compared between the two groups.Results:The postoperative exhaust time,the defecation time and the hospitalization time of the study group were shorter than those of the control group,the levels of diastolic blood pressure,systolic blood pressure,cortisol and heart rate were lower than those of the control group,and the differences were statistically significant(P<0.05).The total compliance rate of the study group was 98.28% (57/58),which was higher than 82.76% (48/58)of the control group;the incidence of complications of the study group was 3.45% (2/58),which was lower than 13.79% (8/58)of the control group;and the differences were statistically significant(P<0.05).Conclusions:The seamless nursing for the SAP patients undergoing endoscopic surgery can improve their treatment compliance,shorten the exhaust time,the defecation time and the hospitalization time,reduce the postoperative stress response and reduce the incidence of complications.Moreover,it is superior to the routine nursing.

Seamless nursingSevere acute pancreatitisStress responseComplicationEndoscopic surgery

丁雪童、王明强、王静、温馨

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河南省人民医院重症医学科 河南省护理医学重点实验室 郑州大学人民医院,河南 郑州 450000

无缝隙护理 重症急性胰腺炎 应激反应 并发症 内镜手术

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(4)
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