[1]王海晔,赵利群,王玉平,等.阶梯式临床路径健康教育在急性胰腺炎患者中的应用研究[J].西部中医药,2020,33(02):126-129.[doi:10.12174/j.issn.1004-6852.2020.02.36]
 WANG Haiye,ZHAO Liqun,WANG Yuping,et al.A Study on Phased Clinical Pathway Health Education Applied to the Patients with Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2020,33(02):126-129.[doi:10.12174/j.issn.1004-6852.2020.02.36]
点击复制

阶梯式临床路径健康教育在急性胰腺炎患者中的应用研究
分享到:

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年02期
页码:
126-129
栏目:
报道·临床护理
出版日期:
2020-02-15

文章信息/Info

Title:
A Study on Phased Clinical Pathway Health Education Applied to the Patients with Acute Pancreatitis
文章编号:
1004-6852(2020)02-0126-04
作者:
王海晔赵利群王玉平姜变通张彩云张志刚
1 兰州大学护理学院,甘肃 兰州 730000; 2 兰州大学第一医院; 3 兰州大学甘肃省胃肠病重点实验室
Author(s):
WANG Haiye12 ZHAO Liqun23 WANG Yuping23 JIANG Biantong 1 ZHANG Caiyun2 ZHANG Zhigang2△
1Nursing School, Lanzhou University, Lanzhou 730000, China; 2The First Hospital of Lanzhou University;3Key Laboratory of Gastrointestinal Diseases of Gansu Province, Lanzhou University
关键词:
胰腺炎急性阶梯式临床路径健康教育消化道并发症肠内营养
Keywords:
pancreatitis acute phased clinical pathway health education gastrointestinal complicationsintestinal nutrition
分类号:
R657.5+1
DOI:
10.12174/j.issn.1004-6852.2020.02.36
摘要:
目的:探讨阶梯式临床路径健康教育方式对于预防急性胰腺炎患者肠内营养期消化道并发症的效果。方法:选取急性胰腺炎患者120例,随机分为观察组和对照组,每组60例。对照组在接受常规治疗的基础上,给予常规健康教育;观察组在接受常规治疗的基础上,在肠内营养期间给予阶梯式临床路径健康教育干预。在干预期间比较两组肠内营养期间恶心呕吐、腹胀、腹痛、腹泻的发生率,患者出院时对肠内营养知识的掌握情况和护理满意度。结果:恶心、呕吐、腹胀、腹泻的发生率观察组均低于对照组,差异有统计学意义(P<0.05);出院时观察组对肠内营养知识的熟悉掌握率94.7%(54/57)高于对照组62.7%(37/59),差异有统计学意义(P<0.05);观察组护理满意度91.2%(52/57)高于对照组59.3%(35/59),差异有统计学意义(P<0.05)。结论:阶梯式临床路径健康教育方式能使急性胰腺炎患者更好地掌握肠内营养的健康知识,有效降低消化道并发症的发生率,提高护理满意率。
Abstract:
Objective: To discuss the effects of phased clinical pathway health education on preventing gastrointestinal complications of the patients with acute pancreatitis(AP) during the intestinal nutrition period. Methods: 120 AP patients were randomized into the observation group and the control group, 60 cases each group. The control group received conventional health education on the foundation of routine therapy; and the observation group were intervened by phased clinical pathway health education during the intestinal nutrition period when they accepted conventional therapy simultaneously. To compare the indexes contained the incidences of nausea, vomiting, abdominal distension, abdominal pain, diarrhea during the intestinal nutrition period, the grasping conditions of intestinal nutrition knowledge when discharged and nursing satisfaction degree. Results: The observation group was lower than the control group in the incidences of nausea, vomiting, abdominal distension and diarrhea, and the difference had statistical meaning (P<0.05); the grasping rate of intestinal nutrition knowledge when discharged in the observation group was 94.7%(54/57), higher than 62.7%(37/59) of the control group, and the difference had statistical meaning (P<0.05); the patients′ nursing satisfaction degree when discharged of the observation group was 91.2%(52/57), higher than 59.3%(35/59) of the control group, and the difference showed statistical meaning (P<0.05). Conclusion: Phased clinical pathway health education could help AP patients grasp intestinal nutrition knowledge, effectively reduce the incidence of gastrointestinal complications during the intestinal nutrition period and raise nursing satisfaction degree.

相似文献/References:

[1]张永全,张惠玉,仝树坡,等.急性脑梗死肝阳暴亢证患者血脂及经颅多普勒检查结果的相关性研究[J].西部中医药,2011,24(11):38.
[2]王凤清,刘艳春.艾迪注射液联合CAG方案治疗老年急性髓细胞白血病40例疗效观察[J].西部中医药,2012,25(12):85.
 WANG Feng-qing,LIU Yan-chun.Observation on AiDi Injection and CAG Plan in Treating 40 Cases of Senile Acute Myelocytic Leukemia[J].Western Journal of Traditional Chinese Medicine,2012,25(02):85.
[3]康庄.自拟中风活血化痰汤对急性脑梗死患者血清NSE、BDNF 水平的影响[J].西部中医药,2013,26(02):22.
 KANG Zhuang.Effects of Self-made ZhongFeng HuoXue HuaTanTang on Contents of Serum NSE and BDNF in Patients with Acute Cerebral Infarction[J].Western Journal of Traditional Chinese Medicine,2013,26(02):22.
[4]李雅娟.急性重症胰腺炎62例临床护理干预观察[J].西部中医药,2013,26(03):115.
 LI Yajuan.Observation on Nursing Intervention for 62 Patients with Acute Severe Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2013,26(02):115.
[5]胡兰文,徐盛开,范玲莉.老年人急性心肌梗死的临床特征及中医证型分析[J].西部中医药,2013,26(06):44.
 HU Lanwen,XU Shengkai,FAN Lingli.Clinical Characteristics and Patterns Analysis of Acute Myocardial Infarction in the Elderly[J].Western Journal of Traditional Chinese Medicine,2013,26(02):44.
[6]张勇.四妙永安汤加味治疗急性痛风性关节炎140例[J].西部中医药,2012,25(07):59.
 ZHANG Yong.Clinical Observation on Modified SiMiao YongAnTang in Treating 140 Cases of Acute Gouty Arthritis[J].Western Journal of Traditional Chinese Medicine,2012,25(02):59.
[7]刘康乐.中西药物联用治疗小儿急性支气管炎86例[J].西部中医药,2013,26(08):90.
 LIU Kangle.Clinical Observation on Treating 86 Cases of Children Suffering from Acute Bronchitis with Integrative Medicine[J].Western Journal of Traditional Chinese Medicine,2013,26(02):90.
[8]王建华.中医辨证护理对急性阑尾炎患者协同增效及心理状态的影响[J].西部中医药,2012,25(05):98.
 WANG Jian-hua.Synergistic Effect and Influence on Psychological States of Dialectical Nursing in Patients with Acute Appendicitis[J].Western Journal of Traditional Chinese Medicine,2012,25(02):98.
[9]常建华.中药联合阿奇霉素治疗急性肠炎48例[J].西部中医药,2013,26(09):88.
 CHANG Jianhua.Herbs and Azithromycin Injection for 48 Cases of Acute Enteritis[J].Western Journal of Traditional Chinese Medicine,2013,26(02):88.
[10]郝芙蓉.中西药物联用治疗急性盆腔炎40例[J].西部中医药,2013,26(09):90.
 HAO Furong.Treatment for 40 Cases of Acute Pelvic Inflammation with Integrative Medicine[J].Western Journal of Traditional Chinese Medicine,2013,26(02):90.
[11]张世祥,贾兴梅,高鹏,等.中西医结合治疗急性重症胰腺炎18例临床研究[J].西部中医药,2013,26(05):102.
 ZHANG Shixiang,JIA Xingmei,GAO Peng,et al.Clinical Study on Integrative Medicine in Treating 18 Cases of Severe Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2013,26(02):102.
[12]孙志江,王映珍,徐庆杰.大黄内服配合芒硝外敷治疗重症急性胰腺炎患者43例[J].西部中医药,2012,25(08):70.
 SUN Zhi-jiang,WANG Ying-zhen,XU Qing-jie.DaHuang for Oral Administration Combined with MangXiao for External Use in Treating 43 Patients with Severe Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2012,25(02):70.
[13]张伟.大承气汤加味胃管注入治疗急性胰腺炎临床观察[J].西部中医药,2013,26(08):80.
 ZHANG Wei.Clinical Observation on Treatment for Acute Pancreatitis by Injecting Modified DaChengQiTang through Stomach Tube[J].Western Journal of Traditional Chinese Medicine,2013,26(02):80.
[14]王华录,杜景柏,巨天赋.中药脐敷治疗急性胰腺炎的临床观察[J].西部中医药,2013,26(10):94.
 WANG Hualu,DU Jingbai,JU Tianfu.Umbilical Dressing in Treating Acute Pancreatitis with TCM[J].Western Journal of Traditional Chinese Medicine,2013,26(02):94.
[15]刘博,王玉梅△,王涛,等.中西医结合治疗高脂血症性急性胰腺炎的临床研究[J].西部中医药,2014,27(05):96.
 LIU Bo,WANG Yumei,WANG Tao,et al.Clinical Study on Treating Hyperlipidemic Acute Pancreatitis by Integrative Medicine[J].Western Journal of Traditional Chinese Medicine,2014,27(02):96.
[16]魏丹,王安萍△.丙氨酰谷氨酰胺联合血必净注射液治疗重症急性胰腺炎38例[J].西部中医药,2014,27(06):106.
 WEI Dan,WANG Anping.Alanyl-glutamine and XueBiJing Injection in Treating 38 Cases of Severe Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2014,27(02):106.
[17]陈浩.复方大承气汤联合西药治疗急性胰腺炎 58 例[J].西部中医药,2014,27(08):107.
[18]任丽英.循证护理模式联合健康教育对急性胰腺炎患者应激心理和生活质量的影响[J].西部中医药,2017,30(02):113.
 REN Liying.The Influences of Evidence-based Care Mode Combined with Healthy Education on Stress Psychology and Life Quality of Patients with Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2017,30(02):113.
[19]李渊,郭进,房伟,等.早期通里攻下联合肠内营养治疗重症急性胰腺炎40例[J].西部中医药,2017,30(04):110.
 LI Yuan,GUO Jin,PANG Wei,et al.Early Removing Stasis by Purgation Combined with Enteral Nutrition in Treatment for 40 Cases with Severe Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2017,30(02):110.
[20]王定玺,黎贵湘.六合丹外敷腹部治疗重症急性胰腺炎疗效观察[J].西部中医药,2021,34(12):132.[doi:10.12174/j.issn.2096-9600.2021.12.36]
 WANG Dingxi,LI Guixiang.Clinical Observation on External Application of Liuhe Pills on Abdomen in the Treatment of Severe Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2021,34(02):132.[doi:10.12174/j.issn.2096-9600.2021.12.36]

备注/Memo

备注/Memo:
收稿日期:2019-12-16*基金项目:国家自然科学基金(81570783);甘肃省自然科学基金重点项目(18JR3RA366)。作者简介:王海晔(1983—),女,在读硕士研究生,主管护师。研究方向:外科护理及护理管理。通讯作者:张志刚(19—),男,硕士研究生导师,副教授,副主任护师。研究方向:重症护理。
更新日期/Last Update: 2020-02-15