分级化疼痛护理在急性胰腺炎生大黄灌肠治疗患者中的应用效果

doi:10.20047/j.issn1673-7210.2023.31.41

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (678 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effect of graded pain nursing in patients with acute pancreatitis treated with raw rhubarb enema. Methods A total of 92 patients with acute pancreatitis admitted to the Department of Spleen and Stomach Diseases, Rugao Hospital of Traditional Chinese Medicine, Jiangsu Province from January 2019 to January 2022 were selected as the study objects, according to random number table method, they were divided into reference group and intervention group, with 46 cases in each group. Both groups were given raw rhubarb enema treatment, the reference group was given routine rehabilitation nursing measures, and the intervention group was given graded pain nursing measures on the basis of the reference group, after one day of admission and seven days of intervention, the changes of mental resilience, gastrointestinal function recovery and complications were compared between the two groups. Results After seven days of intervention, the scores of strength, optimism, resilience, and other psychological resilience in the two groups were higher than those before intervention, and those of the intervention group were higher than those of the reference group, the differences were statistically significant (P＜0.05); the time of abdominal distension, abdominal pain, exhaust gas recovery, bowel sound recovery, and defecation in the intervention group were shorter than those in the reference group, the differences were statistically significant; the total complication rate in the intervention group was lower than that in the reference group, the difference was statistically significant(P＜0.05). Conclusion The implementation of graded pain nursing measures in patients with acute pancreatitis treated with raw rhubarb enema is conducive to improving patients’ psychological anti-pressure ability, improving gastrointestinal functional indexes and reducing the incidence of complications.

Key words： Acute pancreatitis Raw rhubarb enema Graded pain Mental resilience Gastrointestinal function Complication

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Xiaowei1 SHENG Xiaoping1 DAI Yonghong1 CUI Xian2▲

Cite this article:

ZHANG Xiaowei1 SHENG Xiaoping1 DAI Yonghong1 CUI Xian2▲. Application effect of graded pain nursing in patients with acute pancreatitis treated with raw rhubarb enema[J]. 中国医药导报, 2023, 20(31): 189-192.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.31.41 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I31/189

[1] 安宏达，孙备.重症急性胰腺炎救治的难点与困惑[J].中华胰腺病杂志，2020，20（5）：325-327.
[2] 杨丹丹，孙欢，林峤，等.不同年龄阶段急性胰腺炎局部并发症的MRI特征[J].临床放射学杂志，2019，38（1）：95- 100.
[3] 蒲昆鹏，华天凤，肖文艳，等.入院48小时内启动肠内营养对重症急性胰腺炎治疗价值的Meta分析[J].中国循证医学杂志，2019，19（6）：687-693.
[4] 韦艳萍，黄勤英，廖帅，等.重症急性胰腺炎继发感染危险因素及外周血炎症指标预测价值[J].中华医院感染学杂志，2021，31（15）：2332-2336.
[5] 薛志刚，曹锋，李昂，等.急性胰腺炎诊疗实践的调查研究[J].中华外科杂志，2021，59（8）：672-678.
[6] 中华医学会消化病学分会胰腺疾病学组,中华胰腺病杂志编辑委员会,中华消化杂志编辑委员会.中国急性胰腺炎诊治指南（2019年，沈阳）[J].中华消化杂志，2019，39（11）：721-730.
[7] 阙静，黄艳，李华.循证护理干预联合个性化健康教育对急性胰腺炎患者应激心理及自我管理能力的影响[J].中国医药导报，2020，17（22）：181-184.
[8] 刘莉莉，林平，赵振娟.自我效能、社会支持及应对方式对急性心肌梗死患者心理弹性影响的路径分析[J].中华护理杂志，2016，51（1）：21-25.
[9] 钱家鸣，吴东.筚路蓝缕40年：我国急性胰腺炎的基础和临床研究[J].中华消化杂志，2021，41（8）：505-508.
[10] 张王军，孙备，王刚.氧化应激与急性胰腺炎的研究进展[J].国际外科学杂志，2020，47（9）：644-648.
[11] 刘翔宇，崔云峰.重症急性胰腺炎的个体化外科干预[J].肝胆外科杂志，2019，27（6）：474-478.
[12] 刘燕，王春晖，张铭光，等.急性胰腺炎重度患者并发感染性胰腺坏死的危险因素及转归分析[J].河北医学，2019， 25（7）：1198-1202.
[13] 陈意喆，柯路，李维勤.血栓调节蛋白对于急性胰腺炎患者胰腺坏死及总体预后的早期预测价值[J].东南国防医药，2020，22（1）：15-20.
[14] 毛恩强，李梦娇.重症急性胰腺炎早期液体复苏与器官功能维护[J].中华消化杂志，2020，40（7）：441-443.
[15] 王丽萍，刘彦琦，崔洁，等.基于miR-198调控PI3K- Akt信号通路探讨姜黄素治疗急性胰腺炎的机制[J].中国中药杂志，2020，45（15）：3707-3712.
[16] Ma J，Bao Z. Clinical analysis of hyperlipidemic acute pancreatitis [J]. Inte J Gastroenterol，2019，39（1）：46-49，53.
[17] 秦帅，瞿洪平，韩意，等.早期超声引导下盆腔积液PCD可改善中-重症急性胰腺炎病程[J].肝胆胰外科杂志，2019，31（1）：21-25，29.
[18] 姜春晖，杜奕奇.亟需重视重症急性胰腺炎中后期并发症防治[J].内科急危重症杂志，2019，25（1）：5-9.
[19] 刘瑜，黄方，严妤函，等.血清25-羟维生素D水平与急性胰腺炎预后的相关性[J].医学研究生学报，2021，34（7）：706-710.
[20] 巫协宁，汪佩文，万荣，等.重症急性胰腺炎治疗的新理念[J].胃肠病学和肝病学杂志，2019，28（6）：601-605.
[21] 阙静，薛秀，李华.信息-知识-信念-行为的健康教育模式在急性胰腺炎中的应用价值[J].中国医药导报，2021，18（27）：174-177.
[22] 郭晓钟.重症急性胰腺炎致全身炎症反应综合征的诊治策略[J].中华消化杂志，2019，39（5）：289-291.
[23] 李靖，李婷，杜珍，等.急性胰腺炎患者早期营养支持的研究进展[J].现代消化及介入诊疗，2019，24（9）：1067- 1070.
[24] 聂兰，吴清明，徐娅，等.早期预测急性胰腺炎病情严重程度的研究进展[J].华南国防医学杂志，2019，33（6）：437-439，443.
[25] 漆雨晨，李建文，刘苏来，等.急性胰腺炎诱发心血管系统损伤的研究进展[J].中国普通外科杂志，2021，30（9）：1102-1107.