早期循证护理对预防重症急性胰腺炎相关性肺损伤的临床价值研究.pdf

/index.php/gjnr Global Journal of Nursing Research，2014,Vol.2,No.4 The study of early evidence-based nursing on the SAP induced lung injury LU Rong, LI Jun-lei Sichuan Academy of Medical Sciences Sichuan Provincial People`s Hospital, ChengDu SiChuan, China Received: Jul 14, 2014 Accepted: Jul 30, 2014 Published: Sep 29, 2014 DOI: 10.14725/gjnr.v2n4a603 URL: /10.14725/gjnr.v2n4a603 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Objective: To investigate the severe acute pancreatitis in patient with early application of evidence-based care,where to improve breathing,reduce mortality and shorten the time of ICU. Methods: 80 patients diagnosed with SAP were randomly divided into two groups,A group(control group) 40 cases,B group(evidence-based nursing group) 40 cases,two groups of baseline have no significant difference(P 0.05).Results: The treatment of respiratory support,B group significantly reduce the rate of endotracheal intubation and invasive ventilation time(P 0.05). Conclusion: Early evidence-based nursing,significantly reduced the rate of endotracheal intubation patients with SAP,shorten ICU stay time,but did not reduce mortality. Key words Evidence-based nursing; APALI; Clinical value 早期循证护理对预防重症急性胰腺炎相关性肺损伤的临床 价值研究 陆 蓉，李俊蕾 四川省医学科学院 ・四川省人民医院，四川成都，中国 通讯作者：陆蓉, Email: fangjie-t@163.com 【摘要】 目的 探讨对于重症急性胰腺炎(severe acute pancreatitis，SAP)患者早期应用循证护理，是否改善呼吸情况、降低 病死率及缩短入住 ICU 时间等临床价值。方法 将本院 ICU 内诊断为SAP 患者 80 例随机分为两组，A 组 （常规护理对照组） 40 例，应用常规护理方案；B 组（循证护理实验组）40 例，给予循证护理方案。两组患者基线水平差异无统计学意义（P 0.05 ）。结果 接受呼吸支持治疗方案，B 组接受循证护理方案后可显著降低气管插管率及有创通气时间（P 0.05 ）；病死 率方面，B 组在数值上低于 A 组，但差异无统计学意义，但缩短降低 ICU 住院时间，B 组有明显优势（P 0.05 ）。结论 早 期循证护理措施，明显降低 SAP 患者气管插管率，缩短 ICU