A combination of cognitive behavioral therapy and enteral nutrition support is beneficial for patients with severe acute pancreatitis in intensive care unit

认知行为疗法联合肠内营养支持对重症监护病房的重症急性胰腺炎患者有益。

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Abstract

This study aimed to assess the effects of cognitive behavioral therapy (CBT) combined with enteral nutrition support on patients with severe acute pancreatitis (SAP) in the intensive care unit (ICU). From May 2022 to August 2023, 50 SAP patients admitted to our hospital were randomly assigned to a control group (routine nursing) and a study group (CBT nursing based on routine nursing). Both groups received enteral nutrition support. After 14 days of intervention, the study group showed higher blood biochemical indicators (albumin, total protein, globulin) and lower inflammatory marker levels (procalcitonin, C-reactive protein, interleukin-6) compared to the control group. The study group also had shorter ICU and hospital stays, quicker resumption of oral feeding, lower pain scores, and higher quality of life scores. No significant differences in gastrointestinal adverse reactions and infections were observed between the two groups. We concluded that CBT combined with enteral nutrition support benefits SAP patients in the ICU by improving nutritional status, reducing inflammation, relieving pain, and enhancing quality of life.

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