徐艷

[摘要] 目的 探討重癥胰腺炎患者圍手術(shù)期中采用舒適護(hù)理的應(yīng)用價(jià)值。方法 方便選取2018年1—12月在該院外科治療的76例重癥胰腺炎患者，圍手術(shù)期患者隨機(jī)分為兩組，每組38例患者，對(duì)照組采用常規(guī)護(hù)理，觀察組采用舒適護(hù)理，比較兩組患者的心理狀態(tài)、舒適度評(píng)分變化、術(shù)后恢復(fù)時(shí)間。 結(jié)果 觀察組和對(duì)照組護(hù)理前SAS評(píng)分和SDS評(píng)分對(duì)比差異無統(tǒng)計(jì)學(xué)意義（P>0.05）;護(hù)理后，觀察組SAS評(píng)分和SDS評(píng)分分別為（47.63±4.45）分、（46.15±4.98）分，對(duì)照組SAS評(píng)分和SDS評(píng)分分別為（56.79±5.13）分、（52.58±5.04）分，觀察組優(yōu)于對(duì)照組，對(duì)比差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組和對(duì)照組護(hù)理前舒適評(píng)分對(duì)比差異無統(tǒng)計(jì)學(xué)意義（P>0.05）;護(hù)理后3 d和護(hù)理后7 d，觀察組舒適評(píng)分分別為（6.3±1.5）分、（7.2±1.4）分，對(duì)照組舒適評(píng)分分別為（5.1±1.6）分、（6.3±1.5）分，觀察組優(yōu)于對(duì)照組，對(duì)比差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。觀察組腸鳴音恢復(fù)時(shí)間、肛門排便時(shí)間、腹脹消失時(shí)間、體溫正常時(shí)間和血淀粉酶恢復(fù)時(shí)間均顯著低于對(duì)照組，兩組對(duì)比差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 重癥胰腺炎患者圍手術(shù)期中采用舒適護(hù)理的應(yīng)用效果顯著，能有效改善心理狀態(tài)，提升軀體舒適度，加快術(shù)后恢復(fù)速度，具有積極的臨床意義。

[關(guān)鍵詞] 重癥胰腺炎;圍手術(shù)期;舒適護(hù)理;應(yīng)用價(jià)值

[中圖分類號(hào)] R473.6? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1674-0742（2019）07（a）-0126-03

Exploring the Value of Using Comfortable Nursing in Perioperative Period in Patients with Severe Acute Pancreatitis

XU Yan

Department of Hepatobiliary and Pancreatic Surgery， the First Affiliated Hospital， College of Medicine， Hangzhou， Zhejiang Province， 310000 China

[Abstract] Objective To investigate the value of using comfortable nursing in perioperative period in patients with severe acute pancreatitis. Methods Conveniently selected 76 patients with severe pancreatitis who were treated surgically in our hospital from January to December 2018 were randomly divided into two groups， 38 patients in each group. The control group received routine nursing and the observation group used comfortable nursing. Mental status， comfort score changes， and postoperative recovery time were compared in the two groups. Results There was no significant difference in pre-treatment SAS scores and SDS scores between the observation group and the control group （P>0.05）. After nursing， the SAS scores and SDS scores of the observation group were （47.63±4.45） points and （46.15±4.98） points， respectively. The SAS score and SDS score of the control group were （56.79±5.13） points and （52.58±5.04） points respectively. The observation group was superior to the control group， and the difference was statistically significant （P<0.05）. There was no significant difference in pre-treatment comfort score between the observation group and the control group （P>0.05）. The comfort scores of the observation group were （6.3±1.5） points and （7.2±1.4） points after 3 d of nursing and 7 d after nursing. The comfort scores were （5.1±1.6） points and （6.3±1.5） points respectively. The observation group was superior to the control group， and the difference was statistically significant （P<0.05）. The recovery time of bowel sounds， time of anal defecation， time of disappearance of abdominal distension， normal time of body temperature and recovery time of blood amylase were significantly lower in the observation group than in the control group. The difference between the two groups was statistically significant （P<0.05）. Conclusion The application of comfortable nursing in perioperative period of patients with severe pancreatitis is effective， which can effectively improve mental state， improve physical comfort and speed up postoperative recovery. It has positive clinical significance.