心理干预在重症急性胰腺炎ICU护理中的应用研究
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摘要
目的探讨心理干预在重症急性胰腺炎ICU护理中的应用研究。方法将2017年3月～2018年3月在我院ICU病房治疗的90例重症急性胰腺炎患者随机分为两组,对照组采用常规护理,观察组分析心理问题并实行针对性心理干预,比较两组患者的心理状态改善情况、住院情况、生活质量。结果观察组护理后SDS、SAS、APACHEⅡ评分明显低于对照组(P <0.05);观察组ICU监护时间、住院时间、住院费用明显低于对照组,并发症发生率更低(P <0.05);观察组护理后生理功能、生理角色、心理健康、情感角色、躯体疼痛、活力、社会能力、总体健康评分等SF-36评分明显高于对照组(P <0.05)。结论心理干预在重症急性胰腺炎ICU护理中的应用效果显著,能有效减轻患者的不良心理反应,调整心理状态,提升治疗适应性,加快康复速度,减少并发症的发生,提升生活质量,具有积极的临床意义。
Objective To explore the research on application of psychological intervention in ICU nursing of severe acute pancreatitis. Methods 90 patients with severe acute pancreatitis who were treated in ICU wards of our hospital from March 2017 to March 2018 were randomly divided into two groups. The control group was given routine nursing while the observation group was given analysis of psychological problems and targeted psychological interventions.The improvement of psychological status, hospitalization and quality of life were compared between the two groups.Results The SDS, SAS and APACHE II scores of the observation group were significantly lower than those of the control group(P < 0.05). The ICU monitoring time, hospital stay and hospitalization expenses in the observation group were significantly lower than those in the control group, and the complication rate was lower too(P < 0.05).The SF-36 scores of physiological function, physiological role, mental health, emotional role, physical pain, vitality,social ability and overall health score of the observation group were significantly higher than those of the control group(P < 0.05). Conclusion Psychological interventions have significant application effects on ICU nursing in patients with severe acute pancreatitis. It can effectively alleviate the patients' adverse psychological reactions, adjust the psychological state, improve the treatment adaptability, speed up the recovery, reduce the occurrence of complications and improve the quality of life, which has positive clinical significance.
Objective To explore the research on application of psychological intervention in ICU nursing of severe acute pancreatitis. Methods 90 patients with severe acute pancreatitis who were treated in ICU wards of our hospital from March 2017 to March 2018 were randomly divided into two groups. The control group was given routine nursing while the observation group was given analysis of psychological problems and targeted psychological interventions.The improvement of psychological status, hospitalization and quality of life were compared between the two groups.Results The SDS, SAS and APACHE II scores of the observation group were significantly lower than those of the control group(P < 0.05). The ICU monitoring time, hospital stay and hospitalization expenses in the observation group were significantly lower than those in the control group, and the complication rate was lower too(P < 0.05).The SF-36 scores of physiological function, physiological role, mental health, emotional role, physical pain, vitality,social ability and overall health score of the observation group were significantly higher than those of the control group(P < 0.05). Conclusion Psychological interventions have significant application effects on ICU nursing in patients with severe acute pancreatitis. It can effectively alleviate the patients' adverse psychological reactions, adjust the psychological state, improve the treatment adaptability, speed up the recovery, reduce the occurrence of complications and improve the quality of life, which has positive clinical significance.
引文
[1]赵霞,张云飞,许华.心理干预在重症急性胰腺炎ICU护理中患者满意度的影响分析[J].实用临床护理学电子杂志,2018(19):64,70.
[2]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(2013年,上海)[J].中华消化杂志,2013,33(4):217-222.
[3]袁平,秦月兰,陈丹,等.专科与专病护士合作模式在ICU重症急性胰腺炎护理中的应用[J].中华现代护理杂志,2015,21(19):2245-2247.
[4]黄雪琴,林玫瑞.腹腔内压监测在重症急性胰腺炎患者中的应用[J].中华现代护理杂志,2014,49(10):1224-1226.
[5]杨学玲.心理护理干预对急性重症胰腺炎患者护理效果观察[J].医学理论与实践,2012,25(4):458-459.
[6]凌桂爱,方妙娟,王丽.重症监护病房重症急性胰腺炎病人的心理分析和护理对策[J].全科护理,2009,7(9):2270-2271.
[7]黄霜梅,姜莹莹.ICU的急性重症胰腺炎患者进行细节化护理的效果[J].实用临床护理学杂志,2017,2(13):21,26.
[8]王阳.护理干预联合早期肠内营养支持对急性重症胰腺炎患者疗效、心理状态、免疫功能的影响[J].国际护理学杂志,2017,36(1):6-11.
[9]宋鹏飞.集束化护理对ICU急性重症胰腺炎(SAP)治疗的效果分析[J].齐齐哈尔医学院学报,2016,37(15):1976-1978.
[10]杨彩秀,李娟.心理护理干预对重症急性胰腺炎患者生活质量的影响[J].宁夏医学杂志,2014,36(7):661-662.
[11]王玲.ICU优质护理干预措施在行床旁血液滤过急性重症胰腺炎(SAP)中的应用分析[J].内蒙古中医药,2017,36(11):176-177.
[12]吴永红,高丽琴,李琴.集束化护理管理在重症急性胰腺炎患者早期护理的应用[J].实用临床医药杂志,2014,18(20):45.
[13]石彩凤. CRRT治疗57例重症急性胰腺炎患者的效果观察及护理[J].中外医学研究,2018,16(28):131-132.
[2]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(2013年,上海)[J].中华消化杂志,2013,33(4):217-222.
[3]袁平,秦月兰,陈丹,等.专科与专病护士合作模式在ICU重症急性胰腺炎护理中的应用[J].中华现代护理杂志,2015,21(19):2245-2247.
[4]黄雪琴,林玫瑞.腹腔内压监测在重症急性胰腺炎患者中的应用[J].中华现代护理杂志,2014,49(10):1224-1226.
[5]杨学玲.心理护理干预对急性重症胰腺炎患者护理效果观察[J].医学理论与实践,2012,25(4):458-459.
[6]凌桂爱,方妙娟,王丽.重症监护病房重症急性胰腺炎病人的心理分析和护理对策[J].全科护理,2009,7(9):2270-2271.
[7]黄霜梅,姜莹莹.ICU的急性重症胰腺炎患者进行细节化护理的效果[J].实用临床护理学杂志,2017,2(13):21,26.
[8]王阳.护理干预联合早期肠内营养支持对急性重症胰腺炎患者疗效、心理状态、免疫功能的影响[J].国际护理学杂志,2017,36(1):6-11.
[9]宋鹏飞.集束化护理对ICU急性重症胰腺炎(SAP)治疗的效果分析[J].齐齐哈尔医学院学报,2016,37(15):1976-1978.
[10]杨彩秀,李娟.心理护理干预对重症急性胰腺炎患者生活质量的影响[J].宁夏医学杂志,2014,36(7):661-662.
[11]王玲.ICU优质护理干预措施在行床旁血液滤过急性重症胰腺炎(SAP)中的应用分析[J].内蒙古中医药,2017,36(11):176-177.
[12]吴永红,高丽琴,李琴.集束化护理管理在重症急性胰腺炎患者早期护理的应用[J].实用临床医药杂志,2014,18(20):45.
[13]石彩凤. CRRT治疗57例重症急性胰腺炎患者的效果观察及护理[J].中外医学研究,2018,16(28):131-132.