徐艳

[摘要] 目的 探討重症胰腺炎患者围手术期中采用舒适护理的应用价值。方法 方便选取2018年1—12月在该院外科治疗的76例重症胰腺炎患者，围手术期患者随机分为两组，每组38例患者，对照组采用常规护理，观察组采用舒适护理，比较两组患者的心理状态、舒适度评分变化、术后恢复时间。 结果 观察组和对照组护理前SAS评分和SDS评分对比差异无统计学意义（P>0.05）;护理后，观察组SAS评分和SDS评分分别为（47.63±4.45）分、（46.15±4.98）分，对照组SAS评分和SDS评分分别为（56.79±5.13）分、（52.58±5.04）分，观察组优于对照组，对比差异有统计学意义（P<0.05）。观察组和对照组护理前舒适评分对比差异无统计学意义（P>0.05）;护理后3 d和护理后7 d，观察组舒适评分分别为（6.3±1.5）分、（7.2±1.4）分，对照组舒适评分分别为（5.1±1.6）分、（6.3±1.5）分，观察组优于对照组，对比差异有统计学意义（P<0.05）。观察组肠鸣音恢复时间、肛门排便时间、腹胀消失时间、体温正常时间和血淀粉酶恢复时间均显著低于对照组，两组对比差异有统计学意义（P<0.05）。结论 重症胰腺炎患者围手术期中采用舒适护理的应用效果显著，能有效改善心理状态，提升躯体舒适度，加快术后恢复速度，具有积极的临床意义。

[关键词] 重症胰腺炎;围手术期;舒适护理;应用价值

[中图分类号] R473.6          [文献标识码] A          [文章编号] 1674-0742（2019）07（a）-0126-03

Exploring the Value of Using Comfortable Nursing in Perioperative Period in Patients with Severe Acute Pancreatitis

XU Yan

Department of Hepatobiliary and Pancreatic Surgery， the First Affiliated Hospital， College of Medicine， Hangzhou， Zhejiang Province， 310000 China

[Abstract] Objective To investigate the value of using comfortable nursing in perioperative period in patients with severe acute pancreatitis. Methods Conveniently selected 76 patients with severe pancreatitis who were treated surgically in our hospital from January to December 2018 were randomly divided into two groups， 38 patients in each group. The control group received routine nursing and the observation group used comfortable nursing. Mental status， comfort score changes， and postoperative recovery time were compared in the two groups. Results There was no significant difference in pre-treatment SAS scores and SDS scores between the observation group and the control group （P>0.05）. After nursing， the SAS scores and SDS scores of the observation group were （47.63±4.45） points and （46.15±4.98） points， respectively. The SAS score and SDS score of the control group were （56.79±5.13） points and （52.58±5.04） points respectively. The observation group was superior to the control group， and the difference was statistically significant （P<0.05）. There was no significant difference in pre-treatment comfort score between the observation group and the control group （P>0.05）. The comfort scores of the observation group were （6.3±1.5） points and （7.2±1.4） points after 3 d of nursing and 7 d after nursing. The comfort scores were （5.1±1.6） points and （6.3±1.5） points respectively. The observation group was superior to the control group， and the difference was statistically significant （P<0.05）. The recovery time of bowel sounds， time of anal defecation， time of disappearance of abdominal distension， normal time of body temperature and recovery time of blood amylase were significantly lower in the observation group than in the control group. The difference between the two groups was statistically significant （P<0.05）. Conclusion The application of comfortable nursing in perioperative period of patients with severe pancreatitis is effective， which can effectively improve mental state， improve physical comfort and speed up postoperative recovery. It has positive clinical significance.