American Journal of Nursing Science

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Assessing the Influence of Personalized Nursing Services on Severe Acute Pancreatitis Patients Who Undergoing Therapeutic Plasma Exchange

Received: 20 March 2020    Accepted: 03 April 2020    Published: 13 April 2020
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Abstract

Objective: To evaluate the influence of personalized nursing services on Severe acute pancreatitis patients who undergoing therapeutic plasma exchange. Methods: 62 patients were invited to join our research, that they were diagnosed as severe acute pancreatitis from March 2016 to October 2019. We randomly assigned the participants to control group (n = 31) and a intervention group (n = 31). On the hand, the control group participants have traditional nursing services. On the other hand, we provided the personalized nursing services to the intervention group participants. The patients report related information that include serum biochemical indicators, Vital signs change, acute physiology and chronic health evaluation (APACHE II) and multiple organ dysfunction syndrome (MODS). Result: Serum biochemical indices had great improvement was SCr (from 371.4±63.2 to 116.2±52.7 & from 879.3±139.4 to 395.7±135.4). Compare with control group and intervention, the intervention group patients had greater improvement in SCr and AMS, intervention group patients's improvement is about twice as great as control group patient’s. In vital signs change, the health status of patient is similar between control group and intervention group. In result of acute physiology and chronic health evaluation and multiple organ dysfunction syndrome, intervention group had better improvement in MODS domain, the influence of improvement is significant in the result. The MODS result of control group is worse than that of intervention group. Conclusion: The personalized nursing services provide great influence to reducing complications rate and treatment of speed. But the personalized nursing services only affect part of domains in the result, such as serum biochemical indices and MODS status.

DOI 10.11648/j.ajns.20200903.15
Published in American Journal of Nursing Science (Volume 9, Issue 3, June 2020)
Page(s) 112-115
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Personalized Nursing, Severe Acute Pancreatitis, Therapeutic Plasma Exchange

References
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[2] Toh SK, Phillips S, Johnson CD. A prospective audit against national standards of the presentation and management of acute pancreatitis in the South of England. Gut 2016; 46: 239e43.
[3] Ashley SW, Perez A, Pierce EA, Brooks DC, Moore FD, Whang EE, et al. Necrotizing pancreatitis: contemporary analysis of 99 consecutive cases. Ann Surg 2017; 234: 572e9.
[4] Inman KS, Francis AA, Murray NR. Complex role for the immune system in initiation and progression of pancreatic cancer, World J. Gastroenterol. 2014.
[5] Li J, Yang WJ, Huang LM, Tang CW. Immunomodulatory therapies for acute pancreatitis, World J. Gastroenterol. 2016.
[6] Munhoz-Filho CH, Batigália F, Funes HL. Clinical and therapeutic correlations in patients with slight acute pancreatitis. Arq Bras Cir Dig 2015; 28: 24-27.
[7] Agarwal S, George J, Padhan RK, Vadiraja PK, Behera S, Hasan A, et al. Reduction in mortality in severe acute pancreatitis: A time trend analysis over 16 years. Pancreatology 2016; 16: 194-199.
[8] Li LJ. State of the art: the diagnosis and treatment of liver failure. Zhonghua Gan Zang Bing Za Zhi 2015; 18: 801-802.
[9] Bai SJ, Zeng B, Zhang L, Huang Z. Autologous platelet-rich plasmapheresis in cardiovascular surgery: A narrative review. 2019: 30.
[10] Christiadi D, Mercado C, Singer R. Regional citrate anticoagulation in membrane based plasma exchange: Safety, efficacy and effect on calcium balance. Nephrology (Carlton) 2018; 23: 744–7.
[11] Koizumi K, Hoshiai M, Moriguchi T, et al. Plasma exchange downregulates activated monocytes and restores regulatory T cells in Kawasaki disease. Ther Apher Dialysis 2019; 23: 92–98.
[12] Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med 1985; 13: 818–29.
[13] Marshall JC, Cook DJ, Christou NV, Bernard GR, Sprung CL, Sibbald WJ. Multiple organ dysfunction score: a reliable descriptor of a complex clinical outcome. Crit Care Med 1995; 7: 1638–52.
[14] Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus. Gut 2016; 62: 102–111.
[15] Choi JH, Kim MH, Oh D, et al. Clinical relevance of the revised Atlanta classification focusing on severity stratification system. Pancreatology 2017; 14: 324–329.
[16] Petrov MS, van Santvoort HC, Besselink MG, et al. Enteral nutrition and the risk of mortality and infectious complications in patients with severe acute pancreatitis: a meta-analysis of randomized trials. Arch Surg 2018; 143: 1111–1117.
[17] Goldacre M. Hospital admission for acute pancreatitis in an English population, 1963-98: database study of incidence and mortality. BMJ. 20116 328, 1466–1469.
[18] Jones M, Hall O, Kaye A, Kaye A. Drug-induced acute pancreatitis: a review. Ochsner J. 2015; 15: 45–51.
Author Information
  • Digestive Department, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Internal Medicine Department, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Digestive Department, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Digestive Department, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Digestive Department, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Endoscopy Center, The First Affiliated Hospital of Jinan University, Guangzhou, China

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    Zhaolin Chen, Jinglan Luo, Jieyu Rao, Jishi Wu, Yanyun Chen, et al. (2020). Assessing the Influence of Personalized Nursing Services on Severe Acute Pancreatitis Patients Who Undergoing Therapeutic Plasma Exchange. American Journal of Nursing Science, 9(3), 112-115. https://doi.org/10.11648/j.ajns.20200903.15

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    Zhaolin Chen; Jinglan Luo; Jieyu Rao; Jishi Wu; Yanyun Chen, et al. Assessing the Influence of Personalized Nursing Services on Severe Acute Pancreatitis Patients Who Undergoing Therapeutic Plasma Exchange. Am. J. Nurs. Sci. 2020, 9(3), 112-115. doi: 10.11648/j.ajns.20200903.15

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    AMA Style

    Zhaolin Chen, Jinglan Luo, Jieyu Rao, Jishi Wu, Yanyun Chen, et al. Assessing the Influence of Personalized Nursing Services on Severe Acute Pancreatitis Patients Who Undergoing Therapeutic Plasma Exchange. Am J Nurs Sci. 2020;9(3):112-115. doi: 10.11648/j.ajns.20200903.15

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  • @article{10.11648/j.ajns.20200903.15,
      author = {Zhaolin Chen and Jinglan Luo and Jieyu Rao and Jishi Wu and Yanyun Chen and Weixiang Ye},
      title = {Assessing the Influence of Personalized Nursing Services on Severe Acute Pancreatitis Patients Who Undergoing Therapeutic Plasma Exchange},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {3},
      pages = {112-115},
      doi = {10.11648/j.ajns.20200903.15},
      url = {https://doi.org/10.11648/j.ajns.20200903.15},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.20200903.15},
      abstract = {Objective: To evaluate the influence of personalized nursing services on Severe acute pancreatitis patients who undergoing therapeutic plasma exchange. Methods: 62 patients were invited to join our research, that they were diagnosed as severe acute pancreatitis from March 2016 to October 2019. We randomly assigned the participants to control group (n = 31) and a intervention group (n = 31). On the hand, the control group participants have traditional nursing services. On the other hand, we provided the personalized nursing services to the intervention group participants. The patients report related information that include serum biochemical indicators, Vital signs change, acute physiology and chronic health evaluation (APACHE II) and multiple organ dysfunction syndrome (MODS). Result: Serum biochemical indices had great improvement was SCr (from 371.4±63.2 to 116.2±52.7 & from 879.3±139.4 to 395.7±135.4). Compare with control group and intervention, the intervention group patients had greater improvement in SCr and AMS, intervention group patients's improvement is about twice as great as control group patient’s. In vital signs change, the health status of patient is similar between control group and intervention group. In result of acute physiology and chronic health evaluation and multiple organ dysfunction syndrome, intervention group had better improvement in MODS domain, the influence of improvement is significant in the result. The MODS result of control group is worse than that of intervention group. Conclusion: The personalized nursing services provide great influence to reducing complications rate and treatment of speed. But the personalized nursing services only affect part of domains in the result, such as serum biochemical indices and MODS status.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Assessing the Influence of Personalized Nursing Services on Severe Acute Pancreatitis Patients Who Undergoing Therapeutic Plasma Exchange
    AU  - Zhaolin Chen
    AU  - Jinglan Luo
    AU  - Jieyu Rao
    AU  - Jishi Wu
    AU  - Yanyun Chen
    AU  - Weixiang Ye
    Y1  - 2020/04/13
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajns.20200903.15
    DO  - 10.11648/j.ajns.20200903.15
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 112
    EP  - 115
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20200903.15
    AB  - Objective: To evaluate the influence of personalized nursing services on Severe acute pancreatitis patients who undergoing therapeutic plasma exchange. Methods: 62 patients were invited to join our research, that they were diagnosed as severe acute pancreatitis from March 2016 to October 2019. We randomly assigned the participants to control group (n = 31) and a intervention group (n = 31). On the hand, the control group participants have traditional nursing services. On the other hand, we provided the personalized nursing services to the intervention group participants. The patients report related information that include serum biochemical indicators, Vital signs change, acute physiology and chronic health evaluation (APACHE II) and multiple organ dysfunction syndrome (MODS). Result: Serum biochemical indices had great improvement was SCr (from 371.4±63.2 to 116.2±52.7 & from 879.3±139.4 to 395.7±135.4). Compare with control group and intervention, the intervention group patients had greater improvement in SCr and AMS, intervention group patients's improvement is about twice as great as control group patient’s. In vital signs change, the health status of patient is similar between control group and intervention group. In result of acute physiology and chronic health evaluation and multiple organ dysfunction syndrome, intervention group had better improvement in MODS domain, the influence of improvement is significant in the result. The MODS result of control group is worse than that of intervention group. Conclusion: The personalized nursing services provide great influence to reducing complications rate and treatment of speed. But the personalized nursing services only affect part of domains in the result, such as serum biochemical indices and MODS status.
    VL  - 9
    IS  - 3
    ER  - 

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