循证护理干预在复杂性尿路感染性休克中的应用  

Effect of evidence-based nursing intervention in complex urinary tract infection shock

作　　者：张玉霞 

机构地区：[1]四川大学华西医院,四川成都610041

出　　处：《实用临床医药杂志》2017年第22期50-52,共3页Journal of Clinical Medicine in Practice

基　　金：四川省成都市科技局科研课题(20154A21)

摘　　要：目的探讨循证护理干预在复杂性尿路感染性休克中的应用效果。方法选取120例复杂性尿路感染性休克患者作为研究对象,按照随机数字表法均分为2组。对照组实施常规护理,观察组在常规护理干预基础上实施循证护理干预,对比2组护理有效率、护理前后相关指标及血清CRP水平变化。结果观察组护理有效率为96.67%,高于对照组68.33%(P<0.05);护理后,观察组患者心率、心脏指数及静脉血氧饱和度均高于对照组,平均血压水平、血清CRP水平低于对照组(P<0.05)。结论与常规护理模式相比,对复杂性尿路感染性休克患者实施循证护理干预,可达到更好的护理效果,有利于恢复患者意识,稳定生命体征,促进预后,值得临床推广。Objective To study the effect of evidence-based nursing intervention in complex urinary tract infection shock. Methods A total of 120 patients with complicated urinary tract infec-tion were enrolled in our hospital were divided into two groups according to tmethod,with 60 cases in each group. The patients in the control group were given routine care, andpatients in the observation group were treated with evidence-based care on the basis intervention. The changes of the nursing efficiency,the changes of the relevant indexes beforter the nursing and the changes of serum CRP were compared and analyzed. Results The effectiverate of nursing was 68.33% in the control group,which was significantly lower observation group （ P 〈 0. 05 ） ; After treatment, the heart rate, heart index and venous oxygen satura-tion of the control group were lower,the mean blood pressure and serum CRP were higin the observation group （P 〈0. 05） . Conclusion Compared with the conventional nursing model, the implementation of evidence-based nursing intervention for patients with complex urinafection shocks can obtain better nursing effect,restore consciousness,stabilize vital signs,and pro-mote the prognosis, so it is worthy of clinical application and promotion.

关 键 词：循证护理干预 复杂性尿路感染 休克 

分 类 号：R473.5[医药卫生—护理学]