过渡期护理在急性重症胰腺炎患者康复中的应用效果研究

目的：探讨过渡期护理对急性重症胰腺炎患者康复的临床价值及意义。方法选取48例急性重症胰腺炎患者，根据患者住院号单双号随机分为观察组与对照组各24例，对照组患者行常规护理，观察组患者在常规护理基础上，进行强化过渡期护理，分析比较两组患者并发症、病情随访情况及影响因素。结果两组患者临床治疗期并发症发生率比较，差异均无统计学意义（P＞0．05）。观察组出院22例，发生十二指肠溃疡1例，胰腺囊肿1例，胰腺内外分泌异常1例，再次入院治疗1例，曾出现明显消化道症状及并发症症状3例；对照组出院21例，发生十二指肠溃疡3例，胆道梗阻2例，胰腺囊肿3例，胰腺内外分泌异常4例（2例为胰腺囊肿合并胰腺内外分泌异常），再次入院治疗9例，曾出现明显消化道症状及并发症症状11例，观察组过渡期并发症及随访情况例数均低于对照组，差异有统计学意义（χ2分别为7．927，8．836，7．345；P＜0．05）。 Logistic二分类回归分析显示年龄（＞45岁）、临床期并发症、治疗时间均为对照组并发症或康复延迟的影响因素（P＜0．05），而观察组不存在上述影响因素。结论过渡期护理通过保证重症胰腺炎护理工作的协调及连续性，有效降低或避免疾病危险因素，明显改善患者出院后的康复结局和生活质量。

Effect of transitional care on the rehabilitation of patients with severe acute pancreatitis

Objective To investigate the clinical value and significance of transitional care on the rehabilitation of patients with severe acute pancreatitis .Methods Totals of 48 patients with severe acute＆amp;nbsp;pancreatitis patients were randomly divided into the observation group and the control group , from 2010 March to 2012 June.The observation group was based on the conventional care , with strengthening the transitional care method .The control group was only applied the conventional nursing .The incidence of complications , follow-up and risk factors were compared between groups .Results The incidence of complications between groups showed no significant difference （P〉0.05）.Within the 22 patients in the observation group, 1 patient had duodenal ulcer, 1 patient had pancreatic cyst , 1 patient had abnormal pancreas secretion , 1 patient readmitted into hospital, and 3 patients had severe gastrointestinal complications .Within the 21 patients in the control group , 3 patients had duodenal ulcer , 2 patients had biliary obstruction , 3 patients had pancreatic cyst , 4 patients had abnormal pancreas secretion , 9 patients readmitted into hospital , and 11 patients had severe gastrointestinal complications .The transition period and discharged patients in the observation group had a lower incidence of complication and hospitalization rate than the control group .The differences were statistically significant （χ2 =7.927, 8.836, 7.345, respectively; P〈0.05）.The results of Logistic showed that age （〉45）, clinical complications , and treatment time were the risk factors that delayed the rehabilitation of patients in the control group （P〈0.05）.Conclusions Transitional care, by ensuring coordination and continuity of care of patients with severe pancreatitis , can effectively reduce or avoid the risk factors of disease .It is able to improve the patients’ clinical outcome and quality of life , so it is worthy of applying in clinical interventions .