循证护理在急性胰腺炎围手术期应用.docVIP

循证护理在急性胰腺炎围手术期应用 　　[摘要] 目的 探讨循证护理在急性胰腺炎患者围手术期的临床应用效果。 方法 将该院在2012年6月―2014年8月期间收治的68例急性胰腺炎患者随机分为观察组和对照组各34例，两组患者均给予常规护理，观察组在常规护理之上给予循证护理，比较两组患者临床症状消失时间、住院时间、以及患者的满意度。结果 观察组患者腹痛腹胀、发热等临床症状消失时间和住院时间显著优于对照组，组间差异有统计学意义（P0.05）；观察组护理满意度为97.06%，对照组护理满意度为76.47%，观察组优于对照组，组间差异有统计学意义（P0.05）。结论 循证护理应用于急性胰腺炎患者围手术期护理可有效促进患者临床症状消失、缩短患者住院时间、提高患者满意度，有利于患者康复。 　　[关键词] 循证护理；急性胰腺炎；临床效果 　　[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-0742（2015）02（a）-0156-02 　　The Application Value of Evidence-based Nursing to the Patients With Acute Pancreatitis During Perioperative Period 　　LIU Haibo 　　Zhongshan Hospital Affiliated to Dalian University， Dalian， Liaoning Province，116001，China 　　[Abstract] Objective To explore the efficacy of evidence-based nursing in the acute pancreatitis surgery. Methods A total of 68 cases of patients with acute pancreatitis from Jul 2012 to Aug 2014 in our hospital were selected and randomly divided into control group and observation group with 34 cases in each group. All the patients were given routine nursing， and observation group were given evidence-based nursing additionally. The symptom reduction time， hospital stays and satisfaction of patients were compared and analyzed. Results Abdominal pain， abdominal distention fever disappeared time and hospital time in observation group were significantly shorter than those in control group（P0.05）； The satisfaction of patients in observation group was 97.06%， and satisfaction of patients in control group was 76.47%， the difference between the two groups was significant（P0.05）. Conclusion The evidence-based nursing has a good effect in shortening the symptom reduction time， hospital stays of patients with acute pancreatitis， and improving patients’ satisfaction， which can speed up their rehabilitation. 　　[Key words] Evidence-based nursing； Acute pancreatitis； Clinical effect 　　急性胰腺炎（Acute pancreatitis， AP）是临床上较为常见的一种急腹症，该病起病急、发展快、病程长、并发症多，且患者预后较差。急性胰腺炎是一种高分解代谢性疾病，通常伴有其他器官衰竭和多种并发症，导致营养丢失使患者摄入营养困难或者营养摄入不足[1]。手术治疗是急性胰腺炎的主要治疗