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Effect of cluster nursing management combined with early enteral nutrition support on serological indexes and gastrointestinal recovery of patients with severe acute pancreatitis

机译:群体护理管理结合早期肠内营养支持对严重急性胰腺炎患者血清学指标及胃肠道回收的影响

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摘要

Objective: This study aimed to investigate the effect of cluster nursing management combined with early enteral nutrition support on serological indexes and gastrointestinal tract recovery of patients with severe acute pancreatitis. Methods: Altogether 158 patients with severe acute pancreatitis admitted to our hospital were selected and divided into group A (87 cases) and group B (71 cases). Group A received routine nursing mode combined with early enteral nutrition support, while group B received combined cluster nursing based on the intervention mode of group A. Clinical indicators, serological indicators, pain, incidence of complications, self-care ability, and nursing satisfaction of the two groups of patients were observed. Self rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the anxiety and depression status of the two groups of patients before and after nursing intervention. Results: The clinical manifestations of gastrointestinal function in group B were better than those in group A (P<0.05). Serological indexes for monitoring nutritional status and inflammatory reaction in group B were significantly higher than those in group A (P<0.05). After nursing, the pain response of group B patients was significantly lighter than that of group A (P<0.05). The number of complications in group B was less than that in group A (P<0.05). Anxiety and depression in both groups were improved after nursing, and anxiety and depression in group B were significantly better than those in group A after nursing adjustment (P<0.05). The scores of self-care and nursing satisfaction in group B were significantly higher than those in group A (P<0.05). Conclusion: Cluster nursing management combined with early enteral nutrition support has an application effect on patients with severe acute pancreatitis. It can improve the recovery of gastrointestinal function, enhance nutrition and reduce the level of inflammatory indicators.
机译:目的:本研究旨在探讨群体护理管理的影响与早期肠内营养支持相结合对严重急性胰腺炎患者的血清学指标和胃肠道回收。方法:选择158例严重急性胰腺炎的患者入院,分为A组(87例)和B组(71例)。收到的常规护理模式与早期肠内营养支持相结合,而B组基于A组的干预模式接受过组合的群体护理,临床指标,血清学指标,疼痛,并发症发病率,自我保健能力和护理满意度观察到两组患者。自我评级焦虑尺度(SAS)和自评抑郁尺度(SDS)用于评估护理干预前后两组患者的焦虑和抑郁状态。结果:B组胃肠功能的临床表现优于A组(P <0.05)。用于监测B组营养状况和炎症反应的血清学指标显着高于A组(P <0.05)。护理后,B组患者的疼痛反应明显轻,比A组(P <0.05)轻。 B组中的并发症数量小于A组(P <0.05)。在护理后,两组的焦虑和抑郁都得到了改善,B组焦虑和抑郁显着优于护理调整后A组的抑郁(P <0.05)。 B组的自我护理和护理满意度的评分显着高于A组(P <0.05)。结论:群体护理管理结合早期肠内营养支持对严重急性胰腺炎的患者进行了应用效果。它可以改善胃肠功能的回收,增强营养,降低炎症指标水平。

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