Abstract
Objective To explore the effect of enteral nutrition (EN) combined with high quality nursing in the treatment of severe acute pancreatitis (SAP) . Methods By convenience sampling, a total of 100 non-surgical SAP patients in the 901 Hospital of the Chinese People's Liberation Army Joint Logistics Support Force from September of 2012 to September of 2015 were selected as subjects and divided into the experimental group (n=50) and control group (n=50) according to random number table. The control group received the parenteral nutrition (PN) support combined with high quality nursing while the experimental group received the EN support combined with high quality nursing. After treatment, the two groups were compared in terms of the improving condition of the nutritional index, change of scores in Acute Physical and Chronic Health Evaluation Ⅱ (APACHEⅡ) , overall nursing satisfaction and incidence of adverse events. Results 14 days after treatment, the experimental group was better than the control group in the serum amylase level, serum albumin, fasting blood glucose recovery and APACHE Ⅱ score with statistical difference (P<0.05) ; the overall nursing satisfaction rate was 92% in the experimental group, higher than the control group with 66% and the difference was statistically significant (P<0.05) ; the incidence of complications after intervention in the experimental group was 14%, lower than the control group with 36% and the difference was statistically significant (P<0.05) . Conclusions EN support combined with high quality nursing has important clinical values for SAP patients. It can better alleviate patients' anxiety and stress, improve their diet structure, reduce the incidence of complications to the maximum extent, increase the clinical nursing satisfaction rate, and is worthy of clinical popularization. Key words: Pancreatitis; Enteral nutrition support; Parenteral nutrition support; High quality nursing
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