袁丛丽

【摘要】 目的：探究ICU重症急性胰腺炎患者开展心理护理干预的临床效果。方法：研究对象为2017年7月-2018年9月笔者所在医院ICU收治的重症急性胰腺炎患者63例，将其随机分为常规组（31例）、心理组（32例）。常规组给予常规护理，心理组在常规组基础上采用心理护理干预。比较两组患者护理前后情绪状态、住院指标及并发症发生率。结果：护理后心理组SAS、SDS评分均低于常规组，差异有统计学意义（P<0.05）。心理组ICU住院时间、总住院时间、住院费用均优于常规组，差异有统计学意义（P<0.05）。心理组并发症发生率为3.1%，低于常规组的22.6%，差异有统计学意义（P<0.05）。结论：重症急性胰腺炎ICU患者开展心理干预，可改善患者情绪状态，提升康复水平，降低并发症发生率，具有较高的临床推广价值。

【关键词】 重症急性胰腺炎 ICU护理 情绪状态 并发症

doi：10.14033/j.cnki.cfmr.2019.28.039 文献标识码 B 文章编号 1674-6805（2019）28-00-03

Clinical Value of Psychological Nursing Intervention in ICU Patients with Severe Acute Pancreatitis/YUAN Congli. //Chinese and Foreign Medical Research， 2019， 17（28）： -97

[Abstract] Objective： To explore the clinical effect of psychological nursing intervention in ICU patients with severe acute pancreatitis. Method： The research subjects were 63 patients with severe acute pancreatitis admitted in ICU of our hospital from July 2017 to September 2018.They were randomly divided into the routine group （31 cases） and the psychological group （32 cases）. The routine group was given routine nursing， while the psychological group was given psychological nursing intervention on the basis of the routine group. The emotional state before and after the nursing， inpatient index and the incidence of complication were compared between the two groups. Result： After nursing， the SAS and SDS scores in the psychological group were lower than those in the routine group， the differences were statistically significant （P<0.05）. The length of stay in the ICU， total length of stay and hospitalization costs of the psychological group were all better than those of the routine group， the differences were statistically significant （P<0.05）. The incidence of complications in the psychological group was 3.1%， which was lower than 22.6% in the routine group， the difference was statistically significant （P<0.05）. Conclusion： Psychological intervention in ICU patients with severe acute pancreatitis can improve the emotional state of patients， improve the level of rehabilitation and reduce the incidence of complications， which has a high clinical promotion value.

[Key words] Severe acute pancreatitis ICU Emotional state Complications

First-authors address： Zhongshan Hospital Affiliated to Xiamen University， Xiamen 361000， China

胰腺炎指因胰酶被異常激活，消化自身胰腺组织的疾病，临床可见胰腺充血、水肿、坏死，临床表现为发热、呕吐、腹胀等，实验室检验可见血、尿淀粉酶含量上升[1]。当病情急性发作时，患者可出现血压下降、冷汗、腹腔内出血，当伴有代谢性酸中毒、血糖升高、低钙血症、低血钾、低血镁时，则为重症急性胰腺炎，是临床常见危急重症，病死率极高。当患者发生重症急性胰腺炎时，应立即于ICU进行救治、护理，以保证患者生命安全[2-3]。但在ICU治疗时，因与亲属隔离、担心病情变化等因素，患者常表现出严重情绪障碍，可影响内分泌水平稳定性，影响预后[4-5]。因此在常规护理基础上增加心理护理尤为关键。基于此，本次选取笔者所在医院ICU收治的63例重症急性胰腺炎患者，探究常规护理联合心理护理对患者的临床影响，现报道如下。

1 资料与方法

1.1 一般资料

研究对象为2017年7月-2018年9月笔者所在医院ICU收治的重症急性胰腺炎患者63例，将其随机分为常规组（31例）、心理组（32例）。……