Application of psychological intervention in intensive care unit nursing for patients with severe acute pancreatitis.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2024-06-19 DOI:10.5498/wjp.v14.i6.913

Chun-Xia Huang, Xiao-Yan Xu, Dong-Mei Gu, Hui-Ping Xue

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Abstract

Background: Severe acute pancreatitis (SAP) is a familiar critical disease in the intensive care unit (ICU) patients. Nursing staff are important spiritual pillars during the treatment of patients, and in addition to routine nursing, more attention needs be paid to the patient's psychological changes.

Aim: To investigate the effects of psychological intervention in ICU patients with SAP.

Methods: One hundred ICU patients with SAP were hospitalized in the authors' hospital between 2020 and 2023 were selected, and divided into observation and control groups per the hospitalization order. The control and observation groups received routine nursing and psychological interventions, respectively. Two groups are being compared, using the Self-rating Anxiety Scale (SAS), Self-Determination Scale (SDS), Acute Physiology and Chronic Health Evaluation (APACHE) II, and 36-item Short Form Health Survey (SF-36) scores; nursing satisfaction of patients; ICU care duration; length of stay; hospitalization expenses; and the incidence of complications.

Results: After nursing, the SDS, SAS, and APACHE II scores in the experimental group were significantly lower than in the control group (P < 0.05). The SF-36 scores in the observation group were significantly higher than those in the control group (P < 0.05). The nursing satisfaction of patients in the experimental group was 94.5%, considerably higher than that of 75.6% in the control group (P < 0.05). The ICU care duration, length of stay, and hospitalization expenses in the observation group were significantly lower than those in the control group, and the incidence of complications was lower (P < 0.05).

Conclusion: For patients with SAP, the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.

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重症急性胰腺炎患者重症监护室护理中心理干预的应用。

背景：重症急性胰腺炎（SAP重症急性胰腺炎（SAP）是重症监护病房（ICU）患者熟悉的危重疾病。护理人员是患者治疗过程中重要的精神支柱，除了常规护理外，更需要关注患者的心理变化。目的：探讨心理干预在ICU SAP患者中的应用效果：选取 2020 年至 2023 年期间在作者所在医院住院的 100 例 ICU SAP 患者，按照住院顺序分为观察组和对照组。对照组和观察组分别接受常规护理和心理干预。采用焦虑自评量表（SAS）、自定量表（SDS）、急性生理与慢性健康评估（APACHE）II、36项简表健康调查（SF-36）评分、患者护理满意度、ICU护理时间、住院时间、住院费用、并发症发生率等指标对两组进行比较：护理后，实验组的 SDS、SAS 和 APACHE II 评分明显低于对照组（P < 0.05）。观察组 SF-36 评分明显高于对照组（P<0.05）。实验组患者的护理满意度为 94.5%，大大高于对照组的 75.6%（P < 0.05）。观察组的重症监护室护理时间、住院时间和住院费用明显低于对照组，并发症发生率也较低（P < 0.05）：结论：对于 SAP 患者，实施标准化的心理干预措施可有效缓解不良心理状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567