[1]冯维静,许程飞.零缺陷护理干预在连续性血液净化治疗重症急性胰腺炎中的应用[J].医学信息,2021,34(08):186-188.[doi:10.3969/j.issn.1006-1959.2021.08.052]
　FENG Wei-jing,XU Cheng-fei.Application of Zero Defect Nursing Intervention in Continuous Blood Purification Treatment of Severe Acute Pancreatitis[J].Medical Information,2021,34(08):186-188.[doi:10.3969/j.issn.1006-1959.2021.08.052]
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零缺陷护理干预在连续性血液净化治疗重症急性胰腺炎中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年08期
页码:
186-188
栏目:
护理研究
出版日期:
2021-04-15

文章信息/Info

Title:
Application of Zero Defect Nursing Intervention in Continuous Blood Purification Treatment of Severe Acute Pancreatitis
文章编号:
1006-1959（2021）08-0186-03
作者:
冯维静; 许程飞
（天津市第三中心医院重症医学科/天津市重症疾病体外生命支持重点实验室/ 天津市人工细胞工程技术研究中心/天津市肝胆疾病研究所，天津 300170）
Author(s):
FENG Wei-jing; XU Cheng-fei
(Department of Critical Care Medicine,Tianjin Third Central Hospital/Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases/Tianjin Artificial Cell Engineering Technology Research Center/Tianjin Institute of Hepatobiliary Diseases, Tianjin 300170,China)
关键词:
零缺陷护理; 连续性血液净化; 重症急性胰腺炎
Keywords:
Zero defect nursing; Continuous blood purification; Severe acute pancreatitis
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2021.08.052
文献标志码:
A
摘要:
目的 研究零缺陷护理干预在连续性血液净化治疗重症急性胰腺炎中的效果。方法 选取2017年1月~2019年1月我院行连续性血液净化治疗的60例重症急性胰腺炎患者为研究对象，采用随机数字表法分为干预组和常规组，各30例。常规组采用常规护理，干预组采用零缺陷护理干预，比较两组临床腹痛消退时间、血清淀粉酶（AMY）和C-反应蛋白（CRP）恢复正常时间、并发症发生率、意外拔管率、复发率以及护理满意度。结果 干预组腹痛消退时间、AMY和CRP恢复正常时间均短于常规组，差异有统计学意义（P＜0.05）；干预组并发症发生率为6.67%、意外拔管率为3.33%，低于常规组的16.67%、13.33%，差异有统计学意义（P＜0.05）；随访3个月，干预组复发率为3.33%，低于常规组的10.00%，差异有统计学意义（P＜0.05）；干预组护理满意度为96.55%，高于常规组的86.67%，差异有统计学意义（P＜0.05）。结论 零缺陷护理干预可缩短连续性血液净化治疗重症急性胰腺炎患者的临床症状体征恢复时间，降低并发症发生率和复发率，预防意外拔管的发生，且护理满意度较高。
Abstract:
Objective To study the effect of zero defect nursing intervention in continuous blood purification treatment of severe acute pancreatitis.Methods A total of 60 patients with severe acute pancreatitis who underwent continuous blood purification treatment in our hospital from January 2017 to January 2019 were selected as the research objects. They were divided into intervention group and routine group by random number table method, with 30 cases in each group.Routine nursing was used in the routine group, and zero-defect nursing intervention was used in the intervention group. The clinical abdominal pain resolution time, serum amylase (AMY) and C-reactive protein (CRP) return to normal time, complication rate, accidental extubation rate were compared between the two groups.Relapse rate and nursing satisfaction.Results The time to resolve abdominal pain and the time for AMY and CRP to return to normal in the intervention group were shorter than those in the conventional group,the difference was statistically significant(P<0.05);The complication rate in the intervention group was 6.67%, and the accidental extubation rate was 3.33%, which was lower than the 16.67% and 13.33% in the routine group,the difference was statistically significant (P<0.05);After 3 months of follow-up, the recurrence rate of the intervention group was 3.33%, which was lower than 10.00% of the routine group,the difference was statistically significant(P<0.05);The nursing satisfaction rate of the intervention group was 96.55%, which was higher than the 86.67% of the routine group,the difference was statistically significant (P<0.05).Conclusion Zero defect nursing intervention can shorten the recovery time of clinical symptoms and signs in patients with severe acute pancreatitis treated by continuous blood purification, reduce the incidence of complications and recurrence, prevent accidental extubation, and have a high degree of nursing satisfaction.

参考文献/References:

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更新日期/Last Update: 1900-01-01