Observational studyMedicine2025
Application effect of individualized nursing in rehabilitation nursing of patients with severe acute pancreatitis.
Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
The recovery outcomes of patients with severe acute pancreatitis (SAP) are closely related to the nursing approach. This study aims to explore the differences in therapeutic effects between standard care and personalized care in SAP patients and analyze factors influencing patient recovery. The baseline characteristics of SAP patients receiving standard care (n = 568) and personalized care (n = 292) (including medical history, disease severity, and treatment interventions) were compared. Univariate and multivariate logistic regression analyses were then performed to evaluate the effects of C-reactive protein (CRP), procalcitonin (PCT), Ranson score, intensive care unit (ICU) stay duration, mechanical ventilation, diabetes history, binge eating history, and nursing approach on patient recovery. Propensity score matching was applied to balance baseline differences, followed by stratified multivariate logistic regression analyses based on mechanical ventilation status. Finally, chi-square tests were used to assess the long-term impact of nursing approaches on recurrence and readmission rates. Baseline analysis revealed that patients in the personalized care group had higher rates of diabetes and binge eating histories, as well as more severe clinical conditions. Univariate logistic regression showed that CRP, PCT, Ranson score, ICU treatment duration, mechanical ventilation, diabetes history, binge eating history, and nursing method were all significantly associated with recovery outcomes. Multivariate logistic regression further confirmed that CRP (P = .021), ICU treatment duration (P = .002), mechanical ventilation (P < .001), diabetes history (P < .001), binge eating history (P < .001), and nursing method (P < .001) were independent predictors of recovery, with personalized care significantly improving recovery rates (odds ratios [OR] = 7.212). Stratified regression analysis showed that among patients not requiring mechanical ventilation, diabetes history (P = .030, OR = 0.314), and ICU treatment duration (P = .021, OR = 0.889) were significantly associated with recovery. In patients who required mechanical ventilation, binge eating (P = .002, OR = 0.148) and diabetes history (P = .001, OR = 0.159) had negative impacts on recovery, whereas personalized nursing care had a positive effect (P = .048, OR = 1.152). Chi-square tests further indicated that personalized care significantly reduced recurrence and readmission rates. Personalized nursing care improves recovery outcomes in patients with SAP compared to standard care and reduces recurrence and readmission rates. Personalized nursing care should be widely implemented in the recovery management of SAP patients.
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