General Surgery Department, Wuhan Fourth Hospital Changqing Branch, Wuhan, China.
Emergency Department, Wuhan Fourth Hospital, Wuhan, China.
Medicine (Baltimore). 2024 Nov 29;103(48):e40621. doi: 10.1097/MD.0000000000040621.
This study aimed to evaluate the effectiveness of the clinical nursing pathway model in the care of patients with mild acute pancreatitis (MAP). We conducted a retrospective analysis of medical records for 80 patients diagnosed with MAP at our hospital between September 2021 and March 2023. The patients were randomly assigned to 2 groups: the control group, which received routine nursing care, and the observation group, which followed the clinical nursing pathway. The primary outcomes assessed were the time to symptom relief, recovery time from gastrointestinal bloating, emotional status, blood biochemical indicators, self-efficacy, self-care ability, and quality of life. The observation group experienced significantly shorter times for the resolution of abdominal pain and bloating, normalization of serum/urine amylase levels, and anal exhaust compared to the control group (P < .05). Additionally, the observation group reported lower scores on the self-rating anxiety scale and self-rating depression scale, and higher scores on the General Self-Efficacy Scale (P < .05). Biochemical analysis revealed that the levels of serum amylase, lipase, and C-reactive protein were significantly lower in the observation group (P < .05). Moreover, the observation group showed significantly higher scores for self-care ability and overall quality of life compared to the control group (P < .05). The clinical nursing pathway model significantly enhances the quality of care for patients with MAP by accelerating symptom relief, improving emotional status, reducing biochemical markers, and enhancing quality of life. This model effectively promotes both physical and mental health, increases self-care ability, and offers substantial potential for broader application in clinical practice.
本研究旨在评估临床护理路径模式在轻度急性胰腺炎（MAP）患者护理中的有效性。我们对 2021 年 9 月至 2023 年 3 月在我院诊断为 MAP 的 80 例患者的病历进行了回顾性分析。患者被随机分为两组：对照组接受常规护理，观察组采用临床护理路径。主要结局评估指标为症状缓解时间、胃肠胀气恢复时间、情绪状态、血液生化指标、自我效能感、自我护理能力和生活质量。观察组在腹痛和腹胀缓解、血清/尿淀粉酶水平正常化和肛门排气方面的时间明显短于对照组（P ＜ 0.05）。此外，观察组的焦虑自评量表和抑郁自评量表评分较低，一般自我效能感量表评分较高（P ＜ 0.05）。生化分析显示观察组血清淀粉酶、脂肪酶和 C 反应蛋白水平显著降低（P ＜ 0.05）。此外，观察组的自我护理能力和整体生活质量评分明显高于对照组（P ＜ 0.05）。临床护理路径模式通过加速症状缓解、改善情绪状态、降低生化标志物以及提高生活质量，显著提高了 MAP 患者的护理质量。该模式有效促进了身心健康，提高了自我护理能力，具有在临床实践中更广泛应用的潜力。
