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Selected health problems of patients with acute pancreatitis treated in intensive care units



Introduction: Acute pancreatitis (pancreatitis acuta) is one of the most common inflammatory diseases of the digestive system. It is a non-neoplastic disease characterized by an acute and rapid course. It is characterized not only by inflammatory changes in the pancreas itself but also in the surrounding tissues, and is associated with multiple organ failure in a severe stage of the disease. The aim of the study was to assess the frequency of occurrence of problems from acute pancreatitis and to present actions to eliminate them.

Materials and methods: The medical records of 50 patients with acute pancreatitis treated in an intensive care unit were analyzed. A survey form was used to input data from the medi cal records and provide scales for assessing the severity of acute pancreatitis. Correlations between selected variables were calculated.

Results: The majority were sick men aged 50+ who were retired for acute pancreatits. The most common cause of pancreatitis (n = 16) was alcohol dependence syndrome. The highest percentage of patients (n = 36) had necrotic – haemorrhagic forms of acute pancreatitis. No relationship was found between the length of stay of the patients in intensive care and the occurrence of such nursing problems as edema. In contrast, patients fed parenterally had a tendency to hyper-glycaemia. 16 respondents according to the Apache II scale had a 40% risk of death.

Conclusions: In acute pancreatitis, due to the limited independence of the patient, nursing care is very important, with the main goal to increase the patient’s comfort. It requires the cooperation of the entire therapeutic team with the patient and his family.

Frequenza di pubblicazione:
4 volte all'anno
Argomenti della rivista:
Medicine, Basic Medical Science, other, Clinical Medicine, Surgery, Public Health