CAJ | 학술논문

目的：探讨循证护理在急性胰腺炎患者非手术治疗中的应用及效果。方法：通过临床评估确定护理诊断，查阅文献，选择最佳护理证据，制定护理计划，实施护理干预，将在我院接受非手术治疗的52例急性胰腺炎患者，按照就诊时间顺序被分为观察组和对照组，2组均采用非手术治疗的方法，对照组患者使用一般护理方法，观察组患者使用循证护理方法。比较2组患者平均住院日、腹痛消失时间、血淀粉酶正常时间、肛门排气时间，白细胞正常时间，并且记录患者对护理的满意程度。结果：3例患者未完成治疗，49例患者完整治疗、随访。观察组患者住院时间明显少于对照组；腹痛消失、肛门排气时间明显好于对照组，血淀粉酶、白细胞恢复正常时间无明显差异；而且对护理的满意程度明显高于对照组，差异存在统计学意义（P＜0．05）。结论：循证护理在急性胰腺炎的非手术治疗中促进了患者病情转归，提高了患者的满意度，从而缩短了住院时间，节省了医疗资源。
목적：탐토순증호리재급성이선염환자비수술치료중적응용급효과。방법：통과림상평고학정호리진단，사열문헌，선택최가호리증거，제정호리계화，실시호리간예，장재아원접수비수술치료적52례급성이선염환자，안조취진시간순서피분위관찰조화대조조，2조균채용비수술치료적방법，대조조환자사용일반호리방법，관찰조환자사용순증호리방법。비교2조환자평균주원일、복통소실시간、혈정분매정상시간、항문배기시간，백세포정상시간，병차기록환자대호리적만의정도。결과：3례환자미완성치료，49례환자완정치료、수방。관찰조환자주원시간명현소우대조조；복통소실、항문배기시간명현호우대조조，혈정분매、백세포회복정상시간무명현차이；이차대호리적만의정도명현고우대조조，차이존재통계학의의（P＜0．05）。결론：순증호리재급성이선염적비수술치료중촉진료환자병정전귀，제고료환자적만의도，종이축단료주원시간，절성료의료자원。
Objective:To probe into the application and clinical effect of evidence-based nursing in non-operative treatment of pa-tients with acute pancreatitis.Methods:A total of 52 acute pancreatitis patients who were accepted non-operative treatment were divided into test group (28 cases) and control group (24 cases) randomly.Patients of control group were given conventional nursing care, and patients of test group were accepted evidence-based nursing.It was compared between two groups with days in hospital, stomachache ex-tinction time, time of hemodiastase recovery, time for passage of gas by anus, time of leucocyte recovery, besides of these, the degree of satisfaction of nursing care were recorded and compared.Results:49 cases patients accomplished the curing and nursing care, except 3 cases were unaccomplished.The days in hospital of the test group is obviously lower than the control group's, stomachache extinction time and time for passage of gas by anus are lower than the control group's, time of hemodiastase recovery and time of leucocyte recovery are not obviously different between two groups, moreover, the degree of satisfaction of nursing care is higher than the control group's, the differ-ence is statistically significant.Conclusion:To carry out humanistic nursing care in non-operative treatment of patients with acute pan-creatitis can promote their curative effect and enhance comfort degree of patients, accordingly, reduce the time in hospital and spare the medical resource.