1M3S护理管理模式联合优化个体护理对ICU重症肺炎患者的临床疗效、APACHEⅡ评分及不良并发症的影响  

Effect of 1M3S joint optimization of individual nursing in ICU nursing management mode of the clinical curative effect of patients with severe pneumonia,APACHEⅡscore and bad complications

作　　者：陈俪萍 符小玲[1] 邓超[2] 郑永先 陈丹丹[2] CHEN Liping;FU Xiaol‐ing;DENG Chao;ZHENG Yongxian;CHEN Dandan(Department of emergency medicine,Central South University Xiangya School of Medicine Affiliated Haikou Hospital,Haikou Hainan 570208,China)

机构地区：[1]中南大学湘雅医学院附属海口医院急诊医学部,海南海口570208 [2]中南大学湘雅医学院附属海口医院重症医学科,海南海口570208

出　　处：《中国急救复苏与灾害医学杂志》2022年第2期239-242,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：海南省卫生健康行业科研项目(编号:20A200509)。

摘　　要：目的探讨1M3S护理管理模式联合优化个体护理对ICU重症肺炎患者的临床疗效、APACHEⅡ评分及不良并发症的影响。方法选取中南大学湘雅医学院附属海口医院2018年10月—2020年12月收治的148例ICU重症肺炎患者,按照随机数字表法分为对照组和观察组,每组74例。对照组采用优化个体护理,观察组在此基础上实施1M3S护理管理模式,对比两组患者临床疗效、退热时间、止咳时间、白细胞计数恢复正常时间、IL-6、IL-8表达水平、APACHEⅡ评分及不良并发症情况。结果观察组临床总有效率高于对照组(P<0.05);观察组退热时间、止咳时间、白细胞计数恢复正常时间短于对照组(P<0.05);护理后两组外周血IL-6、IL-8表达水平均低于护理前,且观察组外周血IL-6、IL-8表达水平低于对照组(P<0.05);护理后APACHEⅡ评分水平均低于护理前,且观察组APACHEⅡ评分低于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论1M3S护理管理模式联合优化个体护理有助于改善ICU重症肺炎患者的临床疗效,降低其APACHEⅡ评分和并发症发生率,临床上值得继续推广。Objective To explore the effect of1M3S joint optimization of individual nursing in ICU nursing management mode of the clinical curative effect of patients with severe pneumonia,APACHEⅡscore and bad complications.Meth⁃ods A total of 148 ICU patients with severe pneumonia admitted to Haikou Hospital Affiliated to Xiangya Medical College of Central South University from October 2018 to December 2020 were selected and divided into control group and observation group according to random number table method,with 74 cases in each group.Control group using optimization of individual nursing,the observation group based on the 1M3S nursing management mode,compared two groups of patients'clinical curative effect,time,cough,fever time,white blood cell count returned to normal time,IL-6,IL-8 expression level,the APACHEⅡscore complications and adverse conditions.Results The total effective rate of observation group was higher than that of control group(P<0.05);The time of fever abatement,cough relieving time and white blood cell count returning to normal in the observation group were shorter than those in the control group(P<0.05);After nursing,the expression levels of IL-6 and IL-8 in peripheral blood of the two groups were lower than before,and the expression levels of IL-6 and IL-8 in peripheral blood of the observation group were lower than that of the control group(P<0.05);Nursing after the APACHEⅡscore level than care before,and the observation group APACHEⅡscore lower than the control group(P<0.05);The incidence of complications in observation group was lower than that in control group(P<0.05).Conclusion 1M3S nursing management mode of joint optimization of individual nursing care can help improve the clinical curative effect of ICU patients with severe pneumonia,the lower the APACHEⅡscore and the incidence of complications,clinical worth to promote.

关 键 词：ICU重症肺炎 1M3S护理管理模式 优化个体护理 临床疗效 

分 类 号：R47[医药卫生—护理学]