Department of Gastroenterology, Zhangjiagang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Zhangjiagang, Suzhou, China.
Dig Dis Sci. 2024 Mar;69(3):692-701. doi: 10.1007/s10620-023-08241-4. Epub 2024 Jan 8.
The physical and mental quality of life of patients with acute pancreatitis is poor. Professional nurses have the necessary knowledge, art, and skills to aid in resistance exercise training.
To evaluate the effectiveness of 6 months of nurse-supervised resistance exercise training plus nutritional supplements and 6 months of nurse counseling home-based resistance exercise training plus nutritional supplements for patients with pancreatitis.
Patients with acute pancreatitis (age ≥ 18 years) received nurse-supervised resistance exercise training at the institute (NEN cohort, n = 103), nurse counseling for home-based resistance exercise (HEN cohort, n = 123), or usual care (UCN cohort, n = 155) for 6 months. All patients received advice regarding nutritional especially protein supplements.
Before non-treatment intervention(s) (BL), quality of life score of patients was 53, mild-to-moderate self-reported pain episodes, or worse pain, and a total of 22% of patients were disabled. Patients in the NEN cohort had improved quality of life and decreased pain and disability after 6 months of non-treatment intervention(s) (EL) compared to their BL condition and those of the UCN and HEN cohorts at EL (p < 0.05 for all). A smaller number of patients were hospitalized and died in the NEN cohort than in the UCN and HEN cohorts (p ≤ 0.001 for both) during the follow-up period.
The quality of life, pain, and disability condition(s) of patients with acute pancreatitis should be improved. Nurse-supervised resistance exercise training at the institute associated with improvement in the quality of life and decrease of pain, disability, hospitalization, and death of patients with acute pancreatitis.
急性胰腺炎患者的身心生活质量较差。专业护士具备必要的知识、艺术和技能，可辅助进行抗阻运动训练。
评估护士监督的抗阻运动训练加营养补充 6 个月和护士咨询家庭抗阻运动训练加营养补充 6 个月对胰腺炎患者的疗效。
年龄≥18 岁的急性胰腺炎患者在研究所接受护士监督的抗阻运动训练（NEN 队列，n=103）、护士咨询家庭抗阻运动（HEN 队列，n=123）或常规护理（UCN 队列，n=155）6 个月。所有患者均接受营养（特别是蛋白质）补充建议。
在未治疗干预前（BL），患者的生活质量评分为 53 分，自述有轻-中度疼痛发作或更严重的疼痛，且总共有 22%的患者残疾。与 BL 相比，NEN 队列患者在 6 个月的非治疗干预（EL）后生活质量提高，疼痛和残疾减轻，且与 UCN 和 HEN 队列相比 EL 时的情况也更好（所有 p<0.05）。在随访期间，NEN 队列住院和死亡的患者人数少于 UCN 和 HEN 队列（均为 p≤0.001）。
应改善急性胰腺炎患者的生活质量、疼痛和残疾状况。研究所护士监督的抗阻运动训练与改善生活质量、减轻疼痛、残疾、住院和死亡相关，可改善急性胰腺炎患者的生活质量。
