李保英 凌云

[摘要] 目的 探讨病房陪护管理在急性重症胰腺炎护理中的应用效果。 方法 将2013年1月～2015年6月治疗的73例急性重症胰腺炎患者，随机分为观察组（36例）与对照组（37例），对照组采用常规临床护理方法，观察组在对照组基础上采用病房陪护管理。 结果 观察组治疗总有效率明显高于对照组，住院时间明显缩短（P<0.05）；观察组患者在健康感觉、躯体感觉和睡眠状态方面均明显优于对照组（P<0.05）；两组患者入院时的焦虑自评量表评分比较，差异无统计学意义（P>0.05）；出院时观察组患者的焦虑自评量表评分显著低于对照组，观察组患者对护理的满意率明显增加（P<0.05）。 结论 对急性重症胰腺炎患者实施病房陪护护理，可明显提高护理质量及治疗效果，提高患者护理满意度。

[关键词] 病房陪护；急性重症胰腺炎；护理

[中图分类号] R322.4+91 [文献标识码] A [文章编号] 1674-4721（2016）03（c）-0186-03

[Abstract] Objective To explore the application effect of sickroom management in nursing of severe acute pancreatitis. Methods From June 2015 to January 2013，73 patients with acute severe pancreatitis were randomly divided into observation group（n=36） and control group （n=37）.The control group took routine clinical nursing method.The observation group in the conventional nursing method to sickroom management.Observation group was given nursing ward management，on the basis of routine clinical nursing methods. Results The total effective rate of the observation group was significantly higher than that of control group，the length of hospital stay was significantly shorter than that of control group（P<0.05）.In the observation group，the patients were significantly better than those of control group in the aspects of health，physical and sleep（P<0.05）.There was no difference between the two groups of patients with anxiety and self rating anxiety scale，and the observation group was significantly lower than that of control group（P>0.05），the observation group were significantly higher than that of control group （P<0.05）. Conclusion The implementation of sickroom nursing on patients with severe acute pancreatitis，can significantly improve the quality of nursing and treatment effect， improve nursing satisfaction of patients.

[Key words] Sickroom；Severe acute pancreatitis；Nursing

急性重症胰腺炎属于急性胰腺炎的特殊类型，是一种病情险恶、并发症多、病死率较高的急腹症，占整个急性胰腺炎的10%～20%，因此，临床上对急性重症胰腺炎的护理工作难度大，患者对护理质量要求高，目前病房陪护管理措施在临床上广泛开展。病房陪护是指从患者入院到出院，包括基本生活护理在内的一切均由护理人员围绕开展，从患者的需求出发在护理过程中全面实施整体化、人性化、专业化，使患者得到及时、主动、全程、规范、安全的全方位整体护理。为贯彻执行“优质护理服务示范工程”活动及对临床护理工作予以规范，笔者所在科室对部分急性重症胰腺炎患者采取了病房陪护管理模式[1-3] 。

1 资料与方法

1.1 一般资料

选取2013年1月～2015年6月收治的73例急性重症胰腺炎患者作为研究对象，将其随机分为观察组（36例）和对照组（37 例），其中男性41例，女性32例，年龄28～60岁，平均（39.8±10.1）岁，所有患者均符合重症胰腺炎疾病的临床诊断标准[4-5] ，均采取保守治疗。……