分层次护理在ICU感染性休克患者中的应用效果  

Application Effect of Stratified Nursing in ICU Patients with Septic Shock

作　　者：颜小玲 吴鹭情 YAN Xiaoling;WU Luqing(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《中外医学研究》2023年第32期93-96,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨分层次护理在ICU感染性休克患者中的应用效果。方法:选择2018年1月—2021年3月厦门大学附属第一医院ICU收治的88例感染性休克患者作为研究对象。采用随机数表法分为对照组和观察组,各44例。对照组给予常规护理,观察组给予分层次护理。比较两组护理前后的复苏指标水平(平均动脉压、心率、混合静脉血氧饱和度)、心排血指数、C反应蛋白水平及时间指标(休克症状缓解时间、ICU监护时间)。结果:护理前,两组复苏指标比较,差异无统计学意义(P>0.05);护理7 d后,观察组平均动脉压、混合静脉血氧饱和度高于对照组,心率低于对照组,差异有统计学意义(P<0.05)。护理前,两组心排血指数与C反应蛋白水平比较,差异无统计学意义(P>0.05);护理7 d后,观察组心排血指数高于对照组,C反应蛋白水平低于对照组,差异有统计学意义(P<0.05)。观察组休克症状缓解时间和ICU监护时间短于对照组,差异有统计学意义(P<0.05)。结论:分层次护理干预模式的实施,能够明显改善ICU感染性休克患者的相关复苏指标、心排血指数及C反应蛋白水平,且在此基础上,有效缩短休克症状缓解时间和ICU监护时间,效果显著。Objective:To explore the application effect of stratified nursing for septic shock patients in ICU.Method:A total of 88 septic shock patients admitted to the ICU of the First Affiliated Hospital of Xiamen University from January 2018 to March 2021 were selected as the study objects.They were divided into control group and observation group by random number table method,with 44 cases in each group.The control group was given routine nursing,the observation group was given stratified nursing.The resuscitation indexes(mean arterial pressure,heart rate,mixed venous blood oxygen saturation),cardiac output index,C-reactive protein level before and after nursing and time indexes(remission time of shock symptoms,ICU tutelage time)between the two groups were compared.Result:Before nursing,there were no statistically significant differences in resuscitation indexes between the two groups(P>0.05).After 7 d of nursing,the mean arterial pressure and mixed venous blood oxygen saturation in the observation group were higher than those in the control group,and the heart rate was lower than that in the control group,the differences were statistically significant(P<0.05).Before nursing,there were no significant differences in cardiac output index and C-reactive protein level between the two groups(P>0.05).After 7 d of nursing,the cardiac output index of the observation group was higher than that of the control group,and the level of C-reactive protein was lower than that of the control group,the differences were statistically significant(P<0.05).The remission time of shock symptoms and ICU tutelage time in observation group were shorter than those in control group,and the differences were statistically significant(P<0.05).Conclusion:The implementation of stratified nursing intervention mode can significantly improve the relevant resuscitation indicators,cardiac output index and C-reactive protein level of septic shock patients in ICU,and on this basis,effectively shorten the remission time of shock symptom and ICU tutelage time,wi

关 键 词：ICU 感染性休克 分层次护理 

分 类 号：R473.5[医药卫生—护理学]