急性胰腺炎患者的循证护理

摘要

Objective To explore the clinical effect of evidence-based nursing for patients with acute pancreatitis.Methods Acute pancreatitis ( eighty four cases) had been analyzed by retrospective method from first October 2012 to thirty first March 2014.They were divided into experimental group and control group according to different nursing methods;the control group chose routine care, while the experimental group had received evidence-based nursing measures on the basis of routine care, including psychological nursing, diet nursing, pain management and tubes or/and catheters nursing.We monitored the effects of treatment, patients’ satisfaction to medical service and emotional changes after treatment.Results The mortality rate of the experimental group was 4.76%(2/42), while the control group was 11.90% (5/42) (P<0.05).Patients acquired higher satisfaction to nurses’ job in the experimental group (95.24%) than the control group (80.95%) (P<0.05).Meanwhile, the frequency of depression and anxiety were higher in the control group than experimental group, while pain management and emotional stability had opposite trend in two groups ( P<0.05).Conclusions The evidence-based nursing is a very effective method to alleviate the suffering from acute pancreatitis, keep patients with stable mood and improve the relationship between medical staff and patients.%目的：探讨急性胰腺炎患者采用循证护理的临床效果。方法采用回顾性分析的方法，分析2012年10月1日—2014年3月31日间收治的84例急性胰腺炎患者的临床资料，根据护理方法的不同，将84例患者分成对照组和研究组，每组各42例，对照组选择一般常规护理，研究组在对照组的基础上加以循证护理的措施，包括饮食护理、疼痛护理、心理护理、管道护理等，观察两组患者的病情治疗情况、患者对医护人员工作的满意情况以及护理后情绪改变情况。结果研究组病死率为4．76％（2／42），对照组为11．90％（5／42），两组差异有统计学意义（P＜0．05）。研究组患者对护理人员工作满意度为95．24％（40／42），对照组为80．95％（34／42），差异有统计学意义（P＜0．05）。研究组抑郁、焦虑发生的频率均比对照组低，差异有统计学意义（ P＜0．05）。研究组患者的情绪稳定情况和疼痛忍受程度比对照组高，差异有统计学意义（ P＜0．05）。结论循证护理可以有效缓解急性胰腺炎患者的痛苦，稳定患者的情绪，改善医患关系。