叶熙君

摘要目的：探讨循证护理对重症急性胰腺炎患者降低并发症及改善睡眠质量的效果。方法：选取2017年6月至2018年7月厦门大学附属中山医院收治的重症胰腺炎患者60例作为研究对象，随机分为观察组和对照组，每组30例。对照组给与常规护理，观察组给与循证护理。比较2组并发症发生情况及睡眠质量。结果：经护理，观察组并发症发生例数比对照组少，差异有统计学意义（P<005）;护理后观察组睡眠质量（771±216）分低于对照组（995±268）分，差异有统计学意义（P<005）。结论：将循证护理应用于重症急性胰腺炎患者中，可有效降低并发症发生率，改善患者睡眠质量。

关键词重症急性胰腺炎;循证护理;睡眠质量

The Effect of Evidencebased Nursing on the Complications and Ssleep Quality of Patients with Severe Acute Pancreatitis

YE Xijun

（Zhongshan affiliated hospital of xiamen university，Xiamen，361000）

AbstractObjective：To investigate the effect of evidencebased nursing on reducing complications and improving sleep quality in patients with severe acute pancreatitisMethods：A total of 60 patients with severe pancreatitis admitted to zhongshan affiliated hospital of xiamen university from June 2017 to July 2018 were selected as research subjects and randomly divided into observation group and control group，with 30 patients in each groupThe control group was given routine nursing，and the observation group was given evidencebased nursingComplications and sleep quality were compared between the two groupsResults：After nursing，the number of complications in the observation group was less than that in the control group，and the difference was statistically significant（P<005）After nursing，the sleep quality of the study group（771±216）was lower than that of the control group（995±268），and the difference was statistically significant（P<005）Conclusion：The application of evidencebased nursing in patients with severe acute pancreatitis can effectively reduce the incidence of complications and improve patients′ sleep quality.

KeywordsSevere acute pancreatitis; Evidencebased nursing; The quality of sleep

中图分类号：R6575;R33863文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.054

重症急性胰腺炎是一种特殊类型的急性胰腺炎，其并发症较多，病情凶险，死亡率高。重症急性胰腺炎患者一旦发病，需即刻送往医院进行有效救治，否则患者生命将遭受严重威胁。除对重症急性胰腺炎患者进行及时抢救外，辅以有效的护理干预，降低患者并发症改善睡眠质量，有利于促进患者尽快恢复[1]。本文研究结果报道如下。

1资料与方法

11一般资料选取2017年6月至2018年7月厦门大学附属中山医院收治的重症胰腺炎患者60例作为研究对象，随机分为观察组和对照组，每组30例。对照组中男17例，女13例，年龄30～62岁，平均年龄（456±35）岁;观察组中男14例，女16例，年龄28～63岁，平均年龄（483±32）岁。一般资料经统计学分析，差异无统计学意义（P>005），具有可比性。

12纳入标准1）患者符合重症胰腺炎诊断标准;2）无其他重要脏器并发症;3）患者同意参与本研究，已签署知情同意书。

13排除标准1）合并其他脏器疾病者;2）精神异常患者;3）依从性较差者。

14护理方法

141对照组行一般性护理严密监测患者生命体征，检测其泌尿系统、消化系统，观察患者并发症发生情况，对患者进行用药指导、心理疏导、饮食指导等。