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标准化护理干预联合正念减压训练对急性胰腺炎患者疗效的影响

Influence of standardized nursing intervention combined with mindfulness stress reduction training on the curative effect in patients with acute pancreatitis.

作者信息

Li Sha, Yin Dan, Guo Xiao-Chun

机构信息

Department of Gastroenterology, Wuhan Third Hospital, Wuhan 430000, Hubei Province, China.

The Critical Care Medicine Department, The First People's Hospital of Jiangxia District, Wuhan 430200, Hubei Province, China.

出版信息

World J Clin Cases. 2023 Dec 16;11(35):8276-8283. doi: 10.12998/wjcc.v11.i35.8276.

DOI:10.12998/wjcc.v11.i35.8276
PMID:38130611
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10731205/
Abstract

BACKGROUND

Acute pancreatitis (AP) is a common inflammatory disease of the pancreas with high mortality rates. It is of great significance to take scientific intervention measures for patients with AP in time.

AIM

To explore the effect of standardized nursing combined with mindfulness stress reduction training on the curative effect, negative emotion, and quality of life in patients with acute pancreatitis.

METHODS

A total of 80 patients with acute pancreatitis admitted to The First People's Hospital of Jiangxia District Hospital from May 2021 to May 2023 were randomly divided into control group and observation group ( = 40). Patients in control group were given the standardized nursing intervention, and the observation group were given standardized nursing plus mindfulness stress reduction training intervention. The time of clinical symptom disappeared or improved, complication occurrence rate, emotional state, and quality of life score of the two groups were observed and compared.

RESULTS

In comparison with the control group, the bowel sound recovery time, ventosity and abdominal pain improvement time, and venting and cacation time in observation group were shorter, and the total incidence rate of complications was reduced, showing statistically significant difference ( < 0.05). The scores of anxiety and depression in observation group were lower than those in control group ( < 0.05). Serum levels of tumour necrosis factor alpha, interleukin (IL)-6, IL-1β and IL-8 in observation group were lower than those in control group ( < 0.05). The scores of life quality in physiology, psychology, environment and social relations in observation group were higher than those in control group, and the differences were statistically significant ( < 0.05).

CONCLUSION

The application of standardized nursing intervention combined with mindfulness stress reduction training in patients with acute pancreatitis has a definite effect, which can help to ameliorate the clinical symptoms, anxiety and depression of patients, reduce the incidence rate of complications, and improve the prognosis of patients.

摘要

背景

急性胰腺炎(AP)是一种常见的胰腺炎症性疾病,死亡率较高。及时对急性胰腺炎患者采取科学的干预措施具有重要意义。

目的

探讨标准化护理联合正念减压训练对急性胰腺炎患者疗效、负性情绪及生活质量的影响。

方法

选取2021年5月至2023年5月在武汉市江夏区第一人民医院收治的80例急性胰腺炎患者,随机分为对照组和观察组(各40例)。对照组患者给予标准化护理干预,观察组患者给予标准化护理联合正念减压训练干预。观察并比较两组患者临床症状消失或改善时间、并发症发生率、情绪状态及生活质量评分。

结果

与对照组相比,观察组肠鸣音恢复时间、腹胀及腹痛改善时间、排气及排便时间均较短,并发症总发生率降低,差异有统计学意义(P<0.05)。观察组焦虑、抑郁评分低于对照组(P<0.05)。观察组血清肿瘤坏死因子α、白细胞介素(IL)-6、IL-1β及IL-8水平低于对照组(P<0.05)。观察组生理、心理、环境及社会关系生活质量评分高于对照组,差异有统计学意义(P<0.05)。

结论

标准化护理干预联合正念减压训练应用于急性胰腺炎患者有确切效果,可帮助改善患者临床症状、焦虑及抑郁情绪,降低并发症发生率,改善患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f70/10731205/33db7868b693/WJCC-11-8276-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f70/10731205/c30e47a7d8e8/WJCC-11-8276-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f70/10731205/33db7868b693/WJCC-11-8276-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f70/10731205/c30e47a7d8e8/WJCC-11-8276-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f70/10731205/33db7868b693/WJCC-11-8276-g002.jpg

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