细节护理干预在感染性休克患者中的应用效果  

Effects of detail nursing in septic shock patients

作　　者：孙光英 杨丽[1] 雷冬梅[1] 王海艳[1] Sun Guangying;Yang Li;Lei Dongmei;Wang Haiyan(Infectious Disease Center,West China Hospital of Sichuan University,Chengdu 614000,China)

机构地区：[1]四川大学华西医院感染性疾病中心,成都614000

出　　处：《中华现代护理杂志》2020年第3期404-408,共5页Chinese Journal of Modern Nursing

摘　　要：目的探究细节护理干预在感染性休克患者中的应用效果。方法采用便利抽样法,选取2017年1月—2018年6月四川大学华西医院收治的感染性休克患者70例,按随机数字表法将其分为对照组(n=35)和观察组(n=35)。对照组给予常规护理,观察组在对照组的基础上给予细节护理干预。共干预两周。比较两组患者干预前后的临床疗效、血流动力学指标、健康状况及格拉斯格昏迷指数(GCS)评分。结果观察组感染性休克患者治疗有效率为88.57%,高于对照的65.71%,差异有统计学意义(P<0.05)。观察组住院时间、呼吸机使用时间、意识恢复时间、症状体征消失时间均短于对照组,血清C反应蛋白水平低于对照组,差异均有统计学意义(P<0.01)。干预后观察组患者心脏指数、平均动脉压和静脉血氧饱和度均高于对照组,心率低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者健康状况评分低于对照组,GCS评分高于对照组,差异有统计学意义(P<0.05)。结论对感染性休克患者实施细节护理干预,可以改善患者生存质量,对血流动力学的影响较小,值得临床推广应用。Objective To explore the effects of detail nursing in septic shock patients.Methods From January 2017 to June 2018,we selected 70 septic shock patients at West China Hospital of Sichuan University by convenience sampling.All patients were divided into control group(n=35)and observation group(n=35)with the method of random number table.Control group carried out routine nursing.On the basis of that in control group,observation group implemented detail nursing for two weeks.We compared the clinical effects,hemodynamics,health condition and the score of Glasgow coma scale(GCS)of patients between two groups before and after intervention.Results The effective rate of treatment of septic shock patients in observation group was 88.57%higher than that(65.71%)in control group with a statistical difference(P<0.05).The hospitalization time,time using ventilator,time of consciousness recovery,disappearance time of symptoms and signs of observation group were shorter than those of control group;the serum C-reactive protein of observation group was lower than that of control group;the differences were all statistical(P<0.01).After intervention,the cardiac index,mean arterial pressure,venous oxygen saturation of patients in observation group were higher than those in control group;the heart rate of patients in observation group was lower than that in control group;the differences were all statistical(P<0.05).After intervention,the score of health condition of patients in observation group was lower than that in control group;the score of GCS of patients was higher than that in control group;the differences were all statistical(P<0.05).Conclusions Detail nursing for septic shock patients can improve the quality of life of patients and has a little influence on hemodynamics which is worthy of clinical generalization and application.

关 键 词：护理 感染性休克 血流动力学 复苏 

分 类 号：R473[医药卫生—护理学]