能级分区护理模式对ICU多脏器功能衰竭患者的影响  

Effect of Energy-level Partition Nursing Mode on Patients with Multiple Organ Failure in ICU

作　　者：韩净[1] 孙艳芳[1] 祁静 Han Jing;Sun Yanfang;Qi Jing(East Branch of Suzhou Municipal Hospital,Suzhou Jiangsu 215001,China)

机构地区：[1]苏州市立医院东区,江苏苏州215001

出　　处：《齐鲁护理杂志》2022年第3期20-23,共4页Journal of Qilu Nursing

摘　　要：目的:探讨能级分区护理模式对ICU多脏器功能衰竭患者的影响。方法:选择2018年6月1日~2019年5月31日ICU收治的32例多脏器功能衰竭患者作为对照组,采用常规干预;选择2019年6月1日~2020年6月30日ICU收治的32例多脏器功能衰竭患者作为观察组,采用能级分区护理模式。比较干预后两组抢救成功率、患者脱离危险时间、干预前后生活质量[采用WHO生存质量简易量表(QOL-BREF)]、并发症、护理质量及护理满意度。结果:观察组抢救成功率高于对照组(P<0.05),脱离危险时间短于对照组(P<0.01);干预后,两组QOL-BREF中心理领域、生理领域、社会领域、环境领域评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05),护理质量各方面评分、护理满意度评分均高于对照组(P<0.01)。结论:能级分区护理模式能够提高ICU多脏器功能衰竭患者抢救成功率,缩短患者脱离危险时间,提高患者生活质量,降低并发症的发生率,提高护理质量和护理满意度。Objective:To explore the effect of energy-level partition nursing mode on patients with multiple organ failure(MOF)in ICU.Methods:A total of 32 MOF patients admitted to ICU during June 1,2018 to May 31,2019 were enrolled as the control group,and routine intervention was given,while another 32 patients during June 1,2019 to June 30,2020 were enrolled as the observation group,and intervention of energy-level partition nursing mode was given.The rescue success rate after intervention,out of danger time,quality of life before and after intervention by QOL-BREF,occurrence of complications,nursing quality and satisfaction were compared between the two groups.Results:After intervention,the rescue success rate in the observation group was higher than that in the control group(P<0.05),and out of danger time was shorter than that in the control group(P<0.05).After intervention,the scores of psychological,physical,social and environmental fields in QOL-BREF in both groups were higher than those before intervention(P<0.05),and were higher in the observation group than those in the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).The scores of nursing quality and satisfaction in the observation group were higher than those in the control group(P<0.05).Conclusion:The energy-level partition nursing mode can improve rescue success rate of MOF patients in ICU,shorten out of danger time,improve their quality of life,reduce the occurrence of complications,and improve nursing quality and satisfaction.

关 键 词：能级分区护理 多脏器功能衰竭 抢救效果 护理满意度 

分 类 号：R473.5[医药卫生—护理学]