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临床护理路径对急性胰腺炎患者心理状态的影响分析(1)
http://www.100md.com 2019年8月25日 《中外医疗》 2019年第24期
     [摘要] 目的 探討临床护理路径对急性胰腺炎患者心理状态的影响。方法 方便选取2018年2月—2019年2月期间的86例急性胰腺炎患者当作研究对象。根据护理模式的不同,将86例急性胰腺炎患者分为两组,各43例。对照组采取常规护理模式,研究组采取临床护理路径模式。观察并比较两组护理前后的心理状态变化情况。 结果 护理后,研究组的SCL-90评分[躯体化(20.35±3.21)分,强迫症状(13.25±2.18)分,人际关系敏感(16.55±2.25)分,抑郁(21.35±3.23)分,焦虑(12.34±2.17)分,敌对(8.56±1.12)分,恐怖(10.25±1.23)分,偏执(6.24±1.16)分,精神病性(15.14±2.25)分]明显低于对照组的SCL-90评分[躯体化(21.89±5.34)分,强迫症状(18.05±3.23)分,人际关系敏感(22.02±3.35)分,抑郁(27.03±3.37)分,焦虑(20.96±3.25)分,敌对(11.06±1.45)分,恐怖(13.79±1.41)分,偏执(8.68±1.21)分,精神病性(21.78±2.27)分],差异有统计学意义(t=5.285、5.635、5.228、5.482、5.128、5.663、5.318、5.689、5.342,P=0.035、0.024、0.037、0.029、0.041、0.022、0.034、0.021、0.032);研究组的护理满意度97.67%明显高于对照组的护理满意度74.42%,差异有统计学意义(χ2=6.521,P=0.005)。结论 临床护理路径可有效改善急性胰腺炎患者的心理状态,有利于提高急性胰腺炎患者的满意度,值得推广。

    [关键词] 临床护理路径;急性胰腺炎;心理状态

    [中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2019)08(c)-0170-03

    [Abstract] Objective To explore the effect of clinical nursing pathway on the psychological state of patients with acute pancreatitis. Methods Convenient selected eighty-six patients with acute pancreatitis between February 2018 and February 2019 were enrolled. According to the different nursing modes, 86 patients with acute pancreatitis were divided into 2 groups, 43 cases each. The control group adopted the routine nursing mode, and the research group adopted the clinical nursing path model. Observe and compare the changes in mental status before and after treatment in the 2 groups. Results After nursing, the study group's SCL-90 score [somatic (20.35 ± 3.21) points, obsessive-compulsive symptoms (13.25 ± 2.18) points, interpersonal sensitivity (16.55 ± 2.25) points, depression (21.35 ± 3.23) points, anxiety (12.34±2.17) points, hostile (8.56±1.12) points, terror (10.25±1.23) points, paranoia (6.24±1.16) points, psychoticity (15.14±2.25) points] were significantly lower than the control group's SCL-90 score. [Somatization (21.89±5.34) points, obsessive-compulsive symptoms (18.05±3.23)poins, interpersonal sensitivity (22.02±3.35)points, depression (27.03±3.37)points, anxiety (20.96±3.25)poins, hostile (11.06±1.45)poins, terror (13.79 ± 1.41) points, paranoia (8.68 ± 1.21) points, psychosis (21.78 ± 2.27) points], the difference was statistically significant (t=5.285, 5.635, 5.228, 5.482, 5.128, 5.663, 5.318, 5.689, 5.342, P=0.035, 0.024, 0.037, 0.029, 0.041, 0.022, 0.034, 0.021, 0.032); the nursing satisfaction of the study group was 97.67%, which was significantly higher than the nursing satisfaction of the control group by 74.42%. The difference was statistically significant (χ2=6.521, P=0.005). Conclusion The clinical nursing pathway can effectively improve the psychological state of patients with acute pancreatitis, and it is beneficial to improve the satisfaction of patients with acute pancreatitis. It is worth promoting., http://www.100md.com(赵捷)
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