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| Application effect of early warning model based on BISAP-HDL combined with cluster nursing in patients with acute pancreatitis |
| SHEN Guanhong1 YANG Yang2▲ XU Hanli3 |
1.Department of Thoracic Surgery, the 904th Hospital of Joint Support Force of Chinese People’s Liberation Army, Jiangsu Province, Wuxi 214151, China;
2.Department of General Surgery, the 904th Hospital of Joint Support Force of the Chinese People’s Liberation Army, Jiangsu Province, Wuxi 214151, China;
3.Department of Cardiology, the 904th Hospital of Support Force of the Chinese People’s Liberation Army, Jiangsu Province, Wuxi 214151, China |
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Abstract Objective To explore the application effect of early warning model based on bedside index for severity in acute pancreatitis-high density lipoprotein (BISAP-HDL) combined with cluster nursing in patients with acute pancreatitis(AP). Methods Eighty AP patients treated in the 904th Hospital of Joint Support Force of Chinese People’s Liberation Army from February 2021 to February 2022 were prospectively selected as the study objects, they were divided into control group (n=42) and observation group (n=38) by random number table method. The control group was given cluster nursing, and the observation group was given early warning model nursing based on BISAP-HDL combined wite cluster. Acute physiological and chronic health scores Ⅱ(APACHEⅡ), BISAP-HDL scores, length of hospital stay, abdominal pain relief time, amylase recovery time, immune function and inflammatory factor levels before and after treatment were compared between the two groups 24 h before treatment and one week after treatment, and the mortality rate at 28 days after admission was compared between the two groups. Results One week after treatment, the scores of APACHEⅡ and BISAP-HDL in both groups were lower than those before 24 h treatment, and the observation group was lower than the control group (P＜0.05). The hospitalization time, abdominal pain relief time and hematuric amylase recovery time in observation group were shorter than those in control group (P＜0.05). After treatment, CD4+ in both groups was higher than those before treatment, and the observation group was higher than that of the control group (P＜0.05). CD8+, immunoglobulin G, interleukin-6, tumor necrosis factor-α, and C-reactive protein in two groups were lower than those before treatment, and observation group was lower than control group (P＜0.05). The fatality rate at 28 days after admission in the observation group and the control group was 7.89% (3/38) and 16.67% (7/42), respectively, with no significant difference (P＞0.05). Conclusion Early warning model based on BISAP-HDL combined with cluster nursing is beneficial to the recovery of AP patients, improving their immune function and inflammatory factor levels.
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