Effect evaluation of meticulous nursing management in patients with recurrent acute pancreatitis

Abstract

Objective To evaluate the application effect of nursing management in the follow-up of patients with recurrent acute pancreatitis (RAP). Methods During January 2016 and January 2017, the clinical data of RAP patients admitted in Changhai Hospital of Navy Medical University was collected. Self-control method was used to establish a prospective cohort study. Meticulous nursing management mode was applied to follow up the patients for 12 months. Patients′ compliance, symptom improvement, patients′ satisfaction and other markers are evaluated using questionnaires to assess the effect of meticulous nursing management once every 3 months. The data over 12 months were collected. Results Sixty-four RAP patients were finally included. The average follow-up period was 19.7±3.4 months. Before admission, the average disease course was(4.21±3.95) years. 30 patients (46.9%)had a history of drinking; 33 patients (51.6%)had a history of smoking. 25 patients (39.1%)had abnormal blood lipid and 40 patients (62.5%)had the dietary habit of high lipid and high protein. The etiology included alcohol (n=10, 15.6%), high lipid (n=7, 10.9%), biliary diseases (n=1, 1.6%), idiopathic causes (n=46, 71.9%) and abnormal BMI (n=49, 76.6%). After the meticulous nursing management, the frequency of pancreatitis, VAS score of pain and alcohol intake situation was obviously lower than before intervention [(0.50±0.85)times/year vs(2.77±2.52) times/year; (1.84±2.54)vs(6.47±2.15); 2 cases vs 30 cases]. The number of patients who took medicine on time and BMI were obviously decreased[(52 cases vs 13 cases; (23.26±3.85)kg/m2vs(21.92±4.27)kg/m2)], and the differences were statistically significant (P<0.01). Patients′ satisfaction with this nursing model was 4.90±0.56. Conclusions The implementation of the new meticulous nursing management model can effectively alleviate patient′s symptom condition and improve the compliance behavior and life quality of the patients. Key words: Recurrent acute pancreatitis; Nurse′s practice patterns; Forms and records control