Application of evidence-based nursing strategies in the management of patients with severe pancreatitis under the specialized mode of critical care
危重症专职模式下循证护理策略在重症胰腺炎患者管理中的应用

摘要

目的 探讨在危重症专职护理模式下，实施循证护理策略对重症胰腺炎患者应用效果。方法 选择2024年5月-2025年5月期间接收的重症胰腺炎患者80例，采用随机数字表法将80例患者分成对照组（40例，采取常规护理），和观察组（40例，在对照组护理基础上采用危重症专职模式下循证护理策略）。对两组的生化指标水平、生活质量评分、胃肠功能恢复情况、并发症发生率及护理满意度进行对比和评估。结果 在护理前，两组患者的生化指标水平、生活质量评分之间无明显区别（P＞0.05）。护理后，观察组生化指标水平显著低于对照组（P＜0.05），生活质量评分高于对照组（P＜0.05）；此外，观察组胃肠功能恢复情况优于对照组（P＜0.05），并发症发生率低于对照组（P＜0.05），护理满意度高于对照组（P＜0.05）。结论 在对重症胰腺炎患者管理中实施危重症专职模式下循证护理策略效果显著，可有效改善生化指标水平，促进胃肠功能恢复，降低并发症发生率，提升生活质量、护理满意度，有较高应用价值。

Abstract

Objective Exploring the application effect of evidence-based nursing strategies in the specialized nursing mode for critically ill patients with severe pancreatitis.
Methods 80 patients with severe pancreatitis who were admitted between May 2024 and May 2025 were selected. The 80 patients were randomly divided into a control group (40 cases, receiving routine nursing) and an observation group (40 cases, receiving evidence-based nursing strategies under the critical care full-time mode on the basis of nursing in the control group) using a random number table method. Compare and evaluate the levels of biochemical indicators, quality of life scores, gastrointestinal function recovery, incidence of complications, and nursing satisfaction between the two groups.
Results Before nursing, there was no significant difference (P>0.05) in the levels of biochemical indicators and quality of life scores between the two groups of patients. After nursing, the biochemical indicators in the observation group were significantly lower than those in the control group (P<0.05), and the quality of life score was higher than that in the control group (P<0.05); In addition, the recovery of gastrointestinal function in the observation group was better than that in the control group (P<0.05), the incidence of complications was lower than that in the control group (P<0.05), and the nursing satisfaction was higher than that in the control group (P<0.05).
Conclusion   The implementation of evidence-based nursing strategies in the management of patients with severe pancreatitis under the specialized mode of critical care has significant effects, which can effectively improve biochemical indicators, promote gastrointestinal function recovery, reduce the incidence of complications, improve quality of life and nursing satisfaction, and have high application value.