4R危机管理理念在脓毒症患者护理中的应用效果  

Effects of 4R crisis management concept in the nursing of sepsis patients

作　　者：张慧[1] 李艳芳 白玉玲[3] 张丽娜[1] 朱志强[3] Zhang Hui;Li Yanfang;Bai Yuling;Zhang Lina;Zhu Zhiqiang(Emergency Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Nursing Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Emergency Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院急诊科,郑州450000 [2]郑州大学第一附属医院护理部,郑州450000 [3]郑州大学第一附属医院EICU,郑州450000

出　　处：《中华现代护理杂志》2022年第27期3765-3768,共4页Chinese Journal of Modern Nursing

基　　金：河南省高等学校重点科研项目计划(19A320091)。

摘　　要：目的探讨4R危机管理理念在脓毒症护理中的应用效果。方法采取便利抽样法,选取2018年3月—2021年1月郑州大学第一附属医院收治的140例脓毒症患者。根据住院单双号将入选患者分为对照组(69例)和观察组(71例)。对照组采取脓毒症传统护理管理方法,观察组采取4R危机管理理念,比较两组患者的病情变化、并发症发生率。结果护理后,两组患者快速序贯器官衰竭估计(qSOFA)评分均低于护理前,且观察组的qSOFA评分低于对照组,差异均有统计学意义(P<0.01)。观察组的并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论4R危机管理理念在脓毒症护理中的应用效果良好,可有效缓解患者病情,减少并发症。Objective To explore the effect of reduction,readiness,response and recovery(4R)crisis management concept in sepsis nursing.Methods From March 2018 to January 2021,140 patients with sepsis admitted to the First Affiliated Hospital of Zhengzhou University were selected by convenience sampling.The patients were divided into the control group(69 cases)and the observation group(71 cases)according to the hospital odds and even numbers.The control group adopted the traditional nursing of sepsis,and the observation group adopted the 4R crisis management concept.The condition,the incidence of complications of the two groups of patients were compared.Results After nursing,the Quick Sequential Organ Failure Assessment(qSOFA)scores of the two groups were lower than those before nursing,and the qSOFA score of the observation group was lower than that of the control group,with statistical differences(P<0.01).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions The application of the 4R crisis management concept in sepsis nursing has a good effect,which can effectively relieve the patient's condition,reduce complications.

关 键 词：脓毒症 并发症 4R危机管理理念 快速序贯器官衰竭 

分 类 号：R473[医药卫生—护理学]