Department of Gastroenterology, The Fourth Hospital of Harbin Medical University, Harbin 150001, Heilongjiang, China.
Department of Cerebral Surgery, The Fourth Hospital of Harbin Medical University, Harbin 150001, Heilongjiang, China.
J Healthc Eng. 2022 Feb 12;2022:7621658. doi: 10.1155/2022/7621658. eCollection 2022.
Acute pancreatitis represents a disease characterized by acute necro-inflammatory changes in the pancreas, which is histologically characterized by destruction of alveolar cells. We aim to explore whether evidence-based care can improve treatment compliance and quality of life of patients with acute pancreatitis. The changes of hemoglobin (HGB), serum pre-albumin (PAB), and serum albumin (ALB) before and after care were observed, as well as the incidence of complications after care, total effective rate after care, disease severity (bedside index for severity in acute pancreatitis, BISAP) before and after care, and psychological scores of the two groups before and after care were observed. Patients' compliance after care, self-management scores after care, and quality of life after care were compared between the two groups. After care, HGB, PAB, and ALB increased significantly in both groups ( < 0.05) and were higher in OG than CG. Compared with CG, OG had significantly lower incidence of complications (=0.009), significantly higher total effective rate (=0.011), significantly lower disease severity ( < 0.05), significantly better psychological condition scores ( < 0.05), significantly higher compliance scores ( < 0.05), higher self-management scores ( < 0.05), and significantly higher quality of life ( < 0.001). Evidence-based care can improve treatment compliance of patients with acute pancreatitis and can effectively improve their quality of life.
急性胰腺炎是一种以胰腺急性坏死性炎症变化为特征的疾病，其组织学特征是肺泡细胞破坏。我们旨在探讨循证护理是否能提高急性胰腺炎患者的治疗依从性和生活质量。观察护理前后血红蛋白（HGB）、血清前白蛋白（PAB）和血清白蛋白（ALB）的变化，以及护理后并发症的发生率、护理后总有效率、护理前后疾病严重程度（急性胰腺炎床边严重指数，BISAP）和两组护理前后心理评分。比较两组患者护理后的依从性、护理后自我管理评分和护理后的生活质量。护理后两组 HGB、PAB 和 ALB 均显著升高（ < 0.05），OG 组高于 CG 组。与 CG 组相比，OG 组并发症发生率显著降低（=0.009），总有效率显著升高（=0.011），疾病严重程度显著降低（ < 0.05），心理状况评分显著改善（ < 0.05），依从性评分显著升高（ < 0.05），自我管理评分显著升高（ < 0.05），生活质量显著提高（ < 0.001）。循证护理可以提高急性胰腺炎患者的治疗依从性，并能有效提高其生活质量。
