Clinical Trials Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Jun 19, 2024; 14(6): 913-919
Published online Jun 19, 2024. doi: 10.5498/wjp.v14.i6.913
Application of psychological intervention in intensive care unit nursing for patients with severe acute pancreatitis
Chun-Xia Huang, Xiao-Yan Xu, Dong-Mei Gu, Hui-Ping Xue
Chun-Xia Huang, Department of Outpatient, The Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China
Xiao-Yan Xu, Hui-Ping Xue, Emergency Intensive Care Unit, The Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China
Dong-Mei Gu, Department of Nursing, The Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China
Co-first authors: Chun-Xia Huang and Xiao-Yan Xu.
Co-corresponding authors: Dong-Mei Gu and Hui-Ping Xue.
Author contributions: Huang CX and Xu XY designed the research study; Huang CX, Xu XY, Gu DM, and Xue HP performed the research; Huang CX, Xu XY, Gu DM, and Xue HP contributed new reagents and analytical tools; Huang CX and Xu XY analyzed the data and wrote the manuscript; all authors have read and approved the final version of the manuscript. Huang CX and Xu XY, as co-authors, played an important role in research design by jointly conceptualizing the overall framework and plan of the study; Gu DM and Xue HP, as co-corresponding authors, provided important guidance and support for the progress of the study, contributions of new reagents and analytical tools, as well as data analysis and manuscript writing; Throughout the entire research process, Huang CX, Xu XY, Gu DM, and Xue HP worked closely together to leverage their professional strengths and jointly promote the smooth progress of the research; Their joint efforts and contributions have enabled the success of this research and provided valuable references for further research in the field.
Institutional review board statement: The study was reviewed and approved by the Science and Research Office of the Affiliated Hospital of Nantong University.
Clinical trial registration statement: The study was registered at the Clinical Trial Center with registration number: researchregistry10268.
Informed consent statement: All study participants or their legal guardians provided informed written consent before enrollment.
Conflict-of-interest statement: Dr. Gu has nothing to disclose.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dong-Mei Gu, RN, Chief Physician, Department of Nursing, The Affiliated Hospital of Nantong University, No. 20 Xisi Road, Chongchuan District, Nantong 226001, Jiangsu Province, China. dongmeigu@163.com
Received: April 3, 2024
Revised: May 7, 2024
Accepted: May 23, 2024
Published online: June 19, 2024
Processing time: 76 Days and 22.1 Hours
Abstract
BACKGROUND

Severe acute pancreatitis (SAP) is a familiar critical disease in the intensive care unit (ICU) patients. Nursing staff are important spiritual pillars during the treatment of patients, and in addition to routine nursing, more attention needs be paid to the patient’s psychological changes.

AIM

To investigate the effects of psychological intervention in ICU patients with SAP.

METHODS

One hundred ICU patients with SAP were hospitalized in the authors’ hospital between 2020 and 2023 were selected, and divided into observation and control groups per the hospitalization order. The control and observation groups received routine nursing and psychological interventions, respectively. Two groups are being compared, using the Self-rating Anxiety Scale (SAS), Self-Determination Scale (SDS), Acute Physiology and Chronic Health Evaluation (APACHE) II, and 36-item Short Form Health Survey (SF-36) scores; nursing satisfaction of patients; ICU care duration; length of stay; hospitalization expenses; and the incidence of complications.

RESULTS

After nursing, the SDS, SAS, and APACHE II scores in the experimental group were significantly lower than in the control group (P < 0.05). The SF-36 scores in the observation group were significantly higher than those in the control group (P < 0.05). The nursing satisfaction of patients in the experimental group was 94.5%, considerably higher than that of 75.6% in the control group (P < 0.05). The ICU care duration, length of stay, and hospitalization expenses in the observation group were significantly lower than those in the control group, and the incidence of complications was lower (P < 0.05).

CONCLUSION

For patients with SAP, the implementation of standardized psychological intervention measures can effectively alleviate adverse psychological conditions.

Keywords: Severe acute pancreatitis, Intensive care unit nursing, Psychological intervention, Changes of psychological status, Short Form Health Survey

Core Tip: Severe acute pancreatitis (SAP) is a dangerous acute clinical abdominal condition associated with high mortality. SAP treatment is usually performed in the closed environment of the intensive care unit, and an excellent psychological state helps exert the effect of various treatment methods and drugs to speed up disease recovery. We conducted a study on psychological interventions in 100 patients with SAP. This study found that psychological interventions effectively alleviated patients' anxiety, depression, and other adverse psychological conditions.