循证护理对重症急性胰腺炎患者炎性反应和生活质量及护理满意度的效果观察
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摘要
目的探讨重症急性胰腺炎患者实施循证护理的应用效果。方法 96例重症急性胰腺炎患者采用随机数字表法将其分为干预组(n=50)与对照组(n=46),对照组给予常规护理干预,干预组在对照组的基础上给予循证护理干预,观察2组患者护理前后炎性因子[白介素(IL)-6、IL-10、IL-1β、肿瘤坏死因子-α(TNF-α)]、生活质量变化情况及患者对护理的满意度情况。结果护理前2组患者患者炎性因子(IL-6、IL-10、IL-1β、TNF-α)水平与生活质量(心理功能、躯体功能、物质生活、社会功能)评分比较均差异无统计学意义(P> 0. 05);护理后干预组IL-6、IL-10、IL-1β、TNF-α水平显著低于对照组(P <0. 05),干预组心理功能、躯体功能、物质生活、社会功能评分显著高于对照组(P <0. 05),且干预组护理满意率显著高于对照组(P <0. 05)。结论循证护理的实施,可有效改善重症急性胰腺炎患者炎性因子水平,提高其生活质量,且能有效提高患者对护理的满意度。
Objective To investigate the application effects of evidence-based nursing on severe acute pancreatitis.Methods Ninety-six patients with severe acute pancreatitis who were treated in our hospital from August 2015 to August 2017 were enrolled in the study. According to random digital table method,these patients were divided into intervention group( n =50) and control group( n = 46). The patients in control group were treated by routine nursing intervention,however,the patients in intervention group,on the basis of control group,were treated by evidence-based nursing intervention. The changes of inflammatory factors and quality of life before and after treatment,and patient's satisfaction degree to nursing were observed and compared between the two groups. Results Before nursing there were no significant differences in the levels of inflammatory cytokines including IL-6,IL-10,IL-1β,TNF-α and quality of life scores including psychological function,physical function,physical life,social function between the two groups( P > 0. 05). After nursing the levels of IL-6,IL-10,IL-1β and TNF-α in intervention group were significantly lower than those in control group( P < 0. 05). The scores of psychological function,physical function,physical life,social function in intervention group were significantly higher than those in control group( P < 0. 05),moreover,the patient's satisfaction degree to nursing in intervention group was significantly higher than that in control group( P < 0. 05). Conclusion The implementation of evidence-based nursing can effectively improve the levels of inflammatory cytokines,improve quality of life of patients with severe acute pancreatitis,moreover,which can improve patient's satisfaction degree to nursing.
Objective To investigate the application effects of evidence-based nursing on severe acute pancreatitis.Methods Ninety-six patients with severe acute pancreatitis who were treated in our hospital from August 2015 to August 2017 were enrolled in the study. According to random digital table method,these patients were divided into intervention group( n =50) and control group( n = 46). The patients in control group were treated by routine nursing intervention,however,the patients in intervention group,on the basis of control group,were treated by evidence-based nursing intervention. The changes of inflammatory factors and quality of life before and after treatment,and patient's satisfaction degree to nursing were observed and compared between the two groups. Results Before nursing there were no significant differences in the levels of inflammatory cytokines including IL-6,IL-10,IL-1β,TNF-α and quality of life scores including psychological function,physical function,physical life,social function between the two groups( P > 0. 05). After nursing the levels of IL-6,IL-10,IL-1β and TNF-α in intervention group were significantly lower than those in control group( P < 0. 05). The scores of psychological function,physical function,physical life,social function in intervention group were significantly higher than those in control group( P < 0. 05),moreover,the patient's satisfaction degree to nursing in intervention group was significantly higher than that in control group( P < 0. 05). Conclusion The implementation of evidence-based nursing can effectively improve the levels of inflammatory cytokines,improve quality of life of patients with severe acute pancreatitis,moreover,which can improve patient's satisfaction degree to nursing.
引文
1孙香君,李方奇.程序化急救护理在重症急性胰腺炎患者中的应用价值研究.现代消化及介入诊疗,2017,22:428-430.
2黄强业,梁开坚,王齐全,等.肠内营养+双歧杆菌三联活菌散对重症急性胰腺炎患者疗效的影响.现代消化及介入诊疗,2015,20:663-665.
3中华医学会消化病学分会胰腺疾病学组.中国急性胰腺炎诊治指南(草案).解放军医学杂志,2004,24:110-112.
4陈颖芳.循证护理在重症急性胰腺炎护理中的应用.中国当代医药,2017,24:176-178.
5 Monteiro TH,Silva CS,Cordeiro Sim7 es Ambrosio LM,et al.Vitamin Ealters inflammatory gene expression in alcoholic chronic pancreatitis.JNutrigenet Nutrigenomics,2012,5:94.
6胡蝶,王静.循证护理在重症急性胰腺炎护理中的应用.实用临床护理学电子杂志,2017,2:2307.
7刘玉香.完全胃肠外营养与肠内营养用于重症急性胰腺炎的对照分析.现代消化及介入诊疗,2015,20:149-150.
8邱丽,杨志敏.造痿袋、持续冲洗联合伤口保护罩对急性重症胰腺炎术后的护理效果.现代消化及介入诊疗,2016,21:209-211.
9王宇,蒋晓青.重症急性胰腺炎的治疗体会.现代消化及介入诊疗,2015,20:65-67.
10周海英.零缺陷护理干预用于连续性血液净化治疗重症急性胰腺炎中的应用价值.现代消化及介入诊疗,2016,21:917-919.
11刘学容,王玉文.循证护理在重症急性胰腺炎的应用.内蒙古中医药,2017,36:157-158.
12 Isogai M,Yamaguchi A,Harada T,et al.Gallstone pancreatitis:positive correlation between severe pancreatitis and passed stone.J Hepatobiliary Pancreat Surg,2005,12:116-122.
13符云云,陈丽燕,符晶,等.重症急性胰腺炎非手术治疗的临床护理路径研究.现代消化及介入诊疗,2017,22:122-124.
14张燕.循证护理在重症急性胰腺炎护理中的应用分析.中国卫生标准管理,2015,6:195-196.
15刘桂兰,许社玲,张兰华,等.重症急性胰腺炎常见并发症分析及其预防护理措施的效果.现代消化及介入诊疗,2015,20:299-300.
2黄强业,梁开坚,王齐全,等.肠内营养+双歧杆菌三联活菌散对重症急性胰腺炎患者疗效的影响.现代消化及介入诊疗,2015,20:663-665.
3中华医学会消化病学分会胰腺疾病学组.中国急性胰腺炎诊治指南(草案).解放军医学杂志,2004,24:110-112.
4陈颖芳.循证护理在重症急性胰腺炎护理中的应用.中国当代医药,2017,24:176-178.
5 Monteiro TH,Silva CS,Cordeiro Sim7 es Ambrosio LM,et al.Vitamin Ealters inflammatory gene expression in alcoholic chronic pancreatitis.JNutrigenet Nutrigenomics,2012,5:94.
6胡蝶,王静.循证护理在重症急性胰腺炎护理中的应用.实用临床护理学电子杂志,2017,2:2307.
7刘玉香.完全胃肠外营养与肠内营养用于重症急性胰腺炎的对照分析.现代消化及介入诊疗,2015,20:149-150.
8邱丽,杨志敏.造痿袋、持续冲洗联合伤口保护罩对急性重症胰腺炎术后的护理效果.现代消化及介入诊疗,2016,21:209-211.
9王宇,蒋晓青.重症急性胰腺炎的治疗体会.现代消化及介入诊疗,2015,20:65-67.
10周海英.零缺陷护理干预用于连续性血液净化治疗重症急性胰腺炎中的应用价值.现代消化及介入诊疗,2016,21:917-919.
11刘学容,王玉文.循证护理在重症急性胰腺炎的应用.内蒙古中医药,2017,36:157-158.
12 Isogai M,Yamaguchi A,Harada T,et al.Gallstone pancreatitis:positive correlation between severe pancreatitis and passed stone.J Hepatobiliary Pancreat Surg,2005,12:116-122.
13符云云,陈丽燕,符晶,等.重症急性胰腺炎非手术治疗的临床护理路径研究.现代消化及介入诊疗,2017,22:122-124.
14张燕.循证护理在重症急性胰腺炎护理中的应用分析.中国卫生标准管理,2015,6:195-196.
15刘桂兰,许社玲,张兰华,等.重症急性胰腺炎常见并发症分析及其预防护理措施的效果.现代消化及介入诊疗,2015,20:299-300.