循证支持下集束化护理结合正性激励对重症急性胰腺炎患者的影响

The Impact of Bundle Nursing under Evidence-based Support Combined with Positive Incentives on Patients with Severe Acute Pancreatitis

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摘要目的:探究循证支持下集束化护理结合正性激励对重症急性胰腺炎患者的影响。方法:选取2022年2月—2024年7月南华大学附属第二医院重症医学科收治的88例重症急性胰腺炎患者进行回顾性研究,根据不同护理方法分为两组,采取常规护理的患者为对照组(n=44)、在常规护理基础上采取循证支持下集束化护理结合正性激励患者为观察组(n=44),对比两组效果。结果:干预后,观察组心理弹性量表(Connor-Davidson resilience scale,CD-RISC)评分高于对照组(P<0.05);观察组并发症发生率为2.27%,低于对照组的18.18%,差异有统计学意义(P<0.05);观察组急性生理学与慢性健康状况评价Ⅱ(acute physiology and chronic health evaluationⅡ,APACHEⅡ)评分低于对照组,差异有统计学意义(P<0.05);观察组总满意度为95.45%,高于对照组的79.55%,差异有统计学意义(P<0.05)。结论:循证支持下集束化护理结合正性激励的应用价值较高,有助于提高重症急性胰腺炎患者心理韧性水平,改善病情程度,减少并发症,提高满意度,这具有良好的临床借鉴意义。 Objective:To explore the impact of bundled nursing under evidence-based support combined with positive incentives on patients with severe pancreatitis.Method:A retrospective study was conducted on 88 patients with severe acute pancreatitis who admitted to Department of Intensive Care Medicine,the Second Hospital,University of South China from February 2022 to July 2024,patients were divided into two groups based on different nursing methods,the control group(n=44)received routine nursing,and the observation group(n=44)received bundled nursing under evidence-based support combined with positive incentives on the basis of routine nursing,the effects of two groups were compared.Result:After intervention,the Connor-Davidson resilience scale(CD-RISC)score of the observation group was higher than that of the control group(P<0.05);the incidence of complications in the observation group was 2.27%,which was lower than 18.18%in the control group,the difference was statistically significant(P<0.05);the acute physiology and chronic health evaluationⅡ(APACHEⅡ)score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05);the total satisfaction rate of the observation group was 95.45%,which was higher than 79.55%of the control group,the difference was statistically significant(P<0.05).Conclusion:The application value of bundle nursing under evidence-based support combined with positive incentive is high,which can help to improve the psychological resilience level of patients with severe acute pancreatitis,improve the degree of illness,reduce complications and improve satisfaction,which has good clinical reference significance.

作者曾丽娜 ZENG Lina(Department of Intensive Care Medicine,the Second Hospital,University of South China,Hengyang 421001,China)

机构地区南华大学附属第二医院重症医学科

出处《中国医学创新》 2025年第19期76-80,共5页 Medical Innovation of China

关键词重症急性胰腺炎循证支持集束化护理正性激励急性生理学与慢性健康状况评价Ⅱ 心理韧性 Severe acute pancreatitis Evidence based support Bundled nursing Positive incentives Acute physiology and chronic health evaluationⅡ Psychological resilience

分类号 R473.5 [医药卫生—护理学]

作者简介通信作者:曾丽娜。