中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
18期
88-91
,共4页
沈叶丽%杨黛红%丁建美%洪秀宇%李宁
瀋葉麗%楊黛紅%丁建美%洪秀宇%李寧
침협려%양대홍%정건미%홍수우%리저
责任制护理%整体护理%胰腺炎%双套管
責任製護理%整體護理%胰腺炎%雙套管
책임제호리%정체호리%이선염%쌍투관
Responsibility nursing%Holistic nursing%Pancreatitis%Double cannula
目的：探讨责任制整体护理对采用双套管冲洗引流治疗胰腺炎的患者的临床效果。方法选取急性重症胰腺炎患者70例，随机分为两组，对照组患者实施常规护理，观察组患者实施责任制整体护理，记录两组患者引流管放置时间、引流效果、住院时间、并发症发生情况，请患者或家属对护理满意度进行评价。结果观察组患者手术时间、术后冲洗引流时间以及住院时间分别为（49.57±5.82）min、（10.10±1.04）d和（29.14±3.52）d，均明显短于对照组，观察组治愈率为97.44%，明显高于对照组，观察组置管并发症发生率为41.03%，明显少于对照组；观察组患者及家属对护理感到非常满意和满意者分别为53.85%和92.31%，均明显多于对照组，差异具有统计学意义（P＜0.05）。结论采用双套管冲洗引流的患者实施责任制整体护理，患者的治疗时间明显缩短，治疗效果明显提高，不良事件发生率降低，患者满意度明显提高，因此该护理模式在临床应用中有积极意义。
目的：探討責任製整體護理對採用雙套管遲洗引流治療胰腺炎的患者的臨床效果。方法選取急性重癥胰腺炎患者70例，隨機分為兩組，對照組患者實施常規護理，觀察組患者實施責任製整體護理，記錄兩組患者引流管放置時間、引流效果、住院時間、併髮癥髮生情況，請患者或傢屬對護理滿意度進行評價。結果觀察組患者手術時間、術後遲洗引流時間以及住院時間分彆為（49.57±5.82）min、（10.10±1.04）d和（29.14±3.52）d，均明顯短于對照組，觀察組治愈率為97.44%，明顯高于對照組，觀察組置管併髮癥髮生率為41.03%，明顯少于對照組；觀察組患者及傢屬對護理感到非常滿意和滿意者分彆為53.85%和92.31%，均明顯多于對照組，差異具有統計學意義（P＜0.05）。結論採用雙套管遲洗引流的患者實施責任製整體護理，患者的治療時間明顯縮短，治療效果明顯提高，不良事件髮生率降低，患者滿意度明顯提高，因此該護理模式在臨床應用中有積極意義。
목적：탐토책임제정체호리대채용쌍투관충세인류치료이선염적환자적림상효과。방법선취급성중증이선염환자70례，수궤분위량조，대조조환자실시상규호리，관찰조환자실시책임제정체호리，기록량조환자인류관방치시간、인류효과、주원시간、병발증발생정황，청환자혹가속대호리만의도진행평개。결과관찰조환자수술시간、술후충세인류시간이급주원시간분별위（49.57±5.82）min、（10.10±1.04）d화（29.14±3.52）d，균명현단우대조조，관찰조치유솔위97.44%，명현고우대조조，관찰조치관병발증발생솔위41.03%，명현소우대조조；관찰조환자급가속대호리감도비상만의화만의자분별위53.85%화92.31%，균명현다우대조조，차이구유통계학의의（P＜0.05）。결론채용쌍투관충세인류적환자실시책임제정체호리，환자적치료시간명현축단，치료효과명현제고，불량사건발생솔강저，환자만의도명현제고，인차해호리모식재림상응용중유적겁의의。
Objective To observe the clinical effect of applying responsibility holistic nursing to patients treated with double cannula irrigation drainage. Methods Seventy cases with severe acute pancreatitis were selected and divided in-to two groups randomly. The control group received conventional nursing ,and the observation group received responsi-bility holistic nursing. The standing time of drainage tube,drainage effect,length of stay and complications of two groups were recorded. And the nursing satisfaction of patients or family member was evaluated. Results The patients operative time,postoperative irrigation and drainage time and hospital stay were (49.57±5.82) min,(10.10±1.04) d and (29.14±3.52) d, significantly shorter than the control group, the cure rate was 97.44% of observation group, signifi-cantly higher than the control group;in the observation group catheter complication rate was 41.03%, significantly low-er than the control group;observation care patients and their families who were very satisfied and satisfied respectively 53.85%and 92.31%, significantly more than those in the control group. These differences were all statistically signifi-cant (P <0.05). Conclusion Applying double cannula washing drainage to the patients treated with double cannula washing drainage not only can reduce the treatment time and improve the treatment effect , but also can reduce the in-cidence rate of adverse reactions and improve the satisfaction degree of patients. So the nursing mode has great signifi-cance in clinical application.
