Nhận xét kết quả chăm sóc người bệnh viêm tụy cấp tại Trung tâm tiêu hóa gan mật Bệnh viện Bạch Mai năm 2023=Nursing care for the patient with acute pancreatitis at the gastroenterology and hepatology Center of Bach Mai Hospital in 2023

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Minh Vương Hoàng, Thị Liễu Nguyễn, Vân Khánh Nguyễn, Thị Thanh Phượng Phạm, Ngọc Đức Phùng, Văn Chung Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y Dược Thái Bình (Đại học Y Dược Thái Bình), 2024

Mô tả vật lý: tr.71-75

Bộ sưu tập: Metadata

ID: 244005

Thêm vào giỏ

Describe some practical activities in nursing care for acute pancreatitis patients at the Gastroenterology and Hepatology Center of Bach Mai Hospital and related factors. Method: A cross-sectional study design was used on 106 acute pancreatitis patients who met the inclusion and exclusion criteria from January 2022 to May 2023 at the Gastroenterology and Hepatology Center of Bach Mai Hospital. Results: 96.2% of patients had vital signs monitored during hospitalization
61.3% had daily urine monitoring
99.1% were monitored and received daily intravenous fluids. 91.3% of patients were instructed to fast before an upper endoscopy, 99.1% received antibiotics on time, 95.3% were provided with medication and instructions on medication administration, and 94.6% were instructed on rectal medication placement before undergoing ERCP. The highest health education counseling rate was for departmental regulations, accounting for 97.2%, while the lowest was for knowledge about Acute pancreatitis disease at 43.4%. Factors related to length of hospital stay, such as age group, pain intensity on the VAS scale, nutritional care counseling, Acute pancreatitis disease knowledge counseling, and treatment adherence counseling, showed statistically significant differences (p <
0.05). Conclusion: The majority of patients received high levels of clinical nursing care from healthcare staff, but the rate of patients receiving acute pancreatitis counseling remains low. Factors related to the length of hospital stay include age group, pain intensity on the VAS scale, nutritional care counseling, Acute pancreatitis disease knowledge counseling, and treatment adherence counseling.Mô tả kết quả chăm sóc người bệnh viêm tụy cấp tại Trung tâm tiêu hóa gan mật bệnh viện Bạch Mai và một số yếu tố liên quan. Phương pháp: Sử dụng thiết kế nghiên cứu cắt ngang trên 106 người bệnh viêm tụy cấp đáp ứng tiêu chuẩn lựa chọn và tiêu chuẩn loại trừ trong thời gian từ 1/2022-5/2023 tại trung tâm tiêu hóa gan mật bệnh viện Bạch Mai. Kết quả: Có 96,2% người bệnh được theo dõi dấu hiệu sinh tồn khi nằm viện
61,3% người bệnh được theo dõi nước tiểu hàng ngày
99,1% người bệnh được theo dõi, kiểm tra dịch truyền hàng ngày. 91,3% người bệnh được hướng dẫn nhịn ăn trước khi soi dạ dày, 99,1% người bệnh được sử dụng thuốc kháng sinh đúng giờ, 95,3% được phát thuốc, hướng dẫn uống thuốc và 94,6% được hướng dẫn đặt thuốc hậu môn trước khi tiến hành ERCP. Tỷ lệ tư vấn giáo dục sức khỏe chiếm tỉ lệ cao nhất là tư vấn nội quy khoa phòng, bệnh viện chiếm 97,2%, thấp nhất là tư vấn kiến thức về bệnh VTC chiếm 43,4%. Các yếu tố liên quan đến thời gian nằm viện như: nhóm tuổi, mức độ đau theo thang VAS, hoạt động chăm sóc tư vấn chế độ dinh dưỡng, tư vấn kiến thức về bệnh VTC, tư vấn tuân thủ điều trị. có sự khác biệt có ý nghĩa thống kê (p<
0,05). Kết luận: Đa số người bệnh được nhân viên y tế chăm sóc chiếm tỷ lệ cao, tuy nhiên tỷ lệ người bệnh được tư vấn Viêm tụy cấp vẫn còn thấp. Một số yếu tố liên quan đến thời gian nằm viện của người bệnh là nhóm tuổi, mức độ đau theo thang VAS, hoạt động chăm sóc tư vấn chế độ dinh dưỡng, tư vấn kiến thức về bệnh VTC, tư vấn tuân thủ điều trị.

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