早期个体化护理干预对微创手术治疗重症胰腺炎患者预后的影响

摘要

目的：研究早期个体化护理干预在微创手术治疗重症胰腺炎患者预后中的作用。方法：选取2011年1月-2013年6月笔者所在医院收治的行微创手术治疗的重症胰腺炎患者172例，随机分为A组和B组，每组86例。B组仅采用常规护理方法进行护理，A组在常规护理基础上给予早期个体化护理干预。观察并比较两组患者住院时间、患者满意度、并发症发生率及护理相关费用情况。结果：A组患者术后住院时间和护理相关费用均明显低于B组，而满意度显著高于B组(P<0.05)。A组感染、出血、肠瘘并发症发生率分别为2.32%(2/86)、1.16%(1/86)、1.16%(1/86)，明显低于B组的4.65%(4/86)、3.49%(3/86)、3.49%(3/86)，差异有统计学意义(P<0.05)。结论：早期个体化护理干预应用于微创手术治疗重症胰腺炎患者，可有效提高护理服务质量，减轻并发症发生率，提高患者满意度，值得在临床推广应用。%Objective:To study the role of early individualized nursing intervention on minimally invasive surgical treatment of severe pancreatitis patients. Method:172 patients with severe pancreatitis were selected from January 2011 to June 2013 in our hospital with minimally invasive surgery,they were randomly divided into group A and group B,86 cases in each group.The cases in group B were given conventional methods of nursing care,and the cases in group A received early individualized nursing intervention on the basis of the routine care.The hospital stay,patient satisfaction,complications and the costs associated with nursing situation were observed and compared in the two groups of patients.Result:The hospital stay and care related costs in group A were significantly lower than those in group B,while the satisfaction was significantly higher than that in group B(P<0.05).The complication rate of infections,bleeding,intestinal fistula in group A were 2.32%(2/86),1.16%(1/86),1.16%(1/86),they were significantly lower than 4.65%(4/86),3.49%(3/86),3.49%(3/86) in the group B,the difference were statistically significant(P<0.05).Conclusion:Early individualized nursing intervention applies minimally invasive surgical treatment of patients with severe pancreatitis,which can effectively improve the quality of care,reduce the incidence of complications,improve patient satisfaction,it is worthy of clinical application.