Assessing Influence of Solution-focused Nursing for Severe Acute Pancreatitis Patients in Double Filtration Plasmapheresis

Abstract

Objective: To evaluate influence of solution-focused nursing for severe acute pancreatitis patients in Double Filtration Plasmapheresis. Methods: 260 patients were invited join our study who were diagnosed as acute pancreatitis, they undergoing Double Filtration Plasmapheresis from January 2015 to September 2019. The participants assigned randomly into the intervention group and control group. The control group patient receive traditional nursing services in treatment process. Also, the intervention group patient receive solution-focused nursing services. Additionally, we collected the data from all participants, the data included anxiety information, depression information, self-care ability, self-management effectiveness, Serum amylase, Urine amylase, tumor necrosis factor-α and interleukin-6. The used questionnaires include Self-Rating Anxiety Scale (SAS), Self-rating depression scale (SDS), exercise of self-care agency (ESCA) and Chronic Disease Self Efficacy Scales Stanfor (SESC). Result: The intervention group had greater score in SDS and SAS, but the gap of improvement between intervention group and control group was not big. In 4 domains of ESCA, all improvements were undistinguished in control group. Besides, the self-management ability improvement of two groups was slightly in the result, but intervention group had greater performance than that of control group in all domains. Conclusion: The solution focused nursing improve the outcome of DFPP treatment with AP patient in Chinese hospital. The improvement included 4 domains in the result, such as mental health (anxiety & depression), self-care ability, self-management ability and recovery status. But the simple size was limit the accuracy of results.

Evidence-Based Care Can Improve Treatment Compliance and Quality of Life of Patients with Acute Pancreatitis

“…The changes of hemoglobin (HGB), serum pre-albumin (PAB), and serum albumin (ALB) before and after care were observed, as well as the incidence of complications after care, total effective rate after care, disease severity (bedside index for severity in acute pancreatitis, BISAPe) [ 23 ] before and after care, and psychological scores of the two groups before and after care were observed. Patients' compliance after care, self-management scores [ 24 ] after care, and quality of life after care were compared between the two groups.…”

“…Patients' compliance after care, self-management scores [24] after care, and quality of life after care were compared between the two groups.…”

Research on the Effect of 5Why-Based Nursing Intervention in Blood Purification Nursing

“…At present, there are many evaluation methods for survival treatment, among which SF-36 and WH0100 can objectively evaluate the quality of life of patients. The World Health Organization positions the quality of life in different cultures and value systems [ 12 ]. The questionnaire for patients with end-stage renal disease on maintenance hemodialysis includes 79 items such as the universal SF-36 scale and the reflection of the patient's kidney disease status, the impact on normal life, and the satisfaction with the treatment and nursing received [ 13 ].…”