多维多元创优护理在ICU脓毒性休克有创动脉血压监测护理中的应用  

Application of Multi-dimensional and Multi-optimal Nursing in ICU Blood Pressure Monitoring and Nursing of Septic Shock in Invasive Arteries

作　　者：陈秋波 陈嘉玲 陈春燕 苏玉婷 Chen Qiubo;Chen Jialing;Chen Chunyan(The Second Affiliated Hospital of Guangdong Medical University,Zhanjiang,Guangdong,524000,China)

机构地区：[1]广东医科大学附属第二医院,广东湛江524000

出　　处：《黑龙江医学》2024年第10期1242-1244,共3页Heilongjiang Medical Journal

摘　　要：目的:观察多维多元创优护理在ICU脓毒性休克有创动脉血压监测护理中的应用效果。方法:选择2021年5月-2022年6月广东医科大学附属第二医院收治的80例脓毒性休克患者作为研究对象,以入院时间分为对照组和试验组,2021年5月-2021年11月收治的40例患者为对照组,2021年12月-2022年6月收治的40例患者为试验组,对照组患者接受有创动脉血压监测常规护理,试验组患者在常规护理的基础上接受多维多元创优护理,比较两组患者监测依从性、护理有效率、不良事件发生率和护理满意度。结果:试验组患者干预后焦虑评分为(49.28±2.34)分,低于对照组患者的(56.65±2.51)分,差异有统计学意义(t=13.583,P<0.05);试验组患者不良事件发生率(5.00%)低于对照组患者(20.00%),差异有统计学意义(χ^(2)=4.114,P<0.05);试验组患者监测依从率和护理有效率分别为97.50%、100.00%,明显高于对照组患者的80.00%、85.00%,差异有统计学意义(χ^(2)=4.507、6.486,P<0.05);试验组患者护理满意度评分中的操作技术为(83.02±2.51)分、健康指导为(81.65±3.52)分、服务态度为(82.68±2.95)分、安全管理为(82.66±3.50)分、护理效果为(83.22±3.14)分,均高于对照组患者,差异有统计学意义(t=5.438、2.402、4.509、5.687、5.566,P<0.05)。结论:采用多维多元创优护理开展ICU脓毒性休克有创动脉血压监测护理活动,可显著改善患者的焦虑情绪与监测依从率,提高监测安全有效性,提升护理满意度。Objective:To observe the application effect of multi-dimensional and multi-dimensional optimization nursing in ICU septic shock invasive arterial blood pressure monitoring and nursing.Methods:A total of 80 cases of septic shock admitted to the hospital from May 2021 to June 2022 were selected as observation samples and divided into two groups according to the sequence of admission time.40 cases admitted from May 2021 to November 2021 were selected as control group,and 40 cases admitted from December 2021 to June 2022 were selected as experimental group.The group received invasive arterial blood pressure monitoring routine nursing,and the experimental group received multi-dimensional and multi-optimal nursing on the basis of routine nursing.The monitoring compliance,nursing efficiency,incidence of adverse events and nursing satisfaction of the two groups were compared.Results:The anxiety score of experimental group was(49.28±2.34),which was lower than that in control group(56.65±2.51),with statistical difference(t=13.583,P<0.05).The incidence of adverse events in experimental group(5.00%)was lower than that in control group(20.00%),with statistically significant difference(χ^(2)=4.114,P<0.05).The monitoring compliance rate and nursing effective rate of experimental group were 97.50%and 100.00%respectively,which were significantly higher than of 80.00%and 85.00%control group(χ^(2)=4.507,6.486;P<0.05).The score of nursing satisfaction of experimental group was(83.02±2.51),health guidance was(81.65±3.52),service attitude was(82.68±2.95),safety management was(82.66±3.50),nursing effect was(83.22±3.14).These were all higher than control group,with statistical significant differences(t=5.438,2.402,4.509,5.687,5.566;P<0.05).Conclusion:The adoption of multi-dimensional and multi-optimal nursing to carry out ICU septic shock invasive arterial blood pressure monitoring and nursing activities can significantly improve the anxiety and monitoring compliance rate of such cases,improve the safety and effectiveness of mo

关 键 词：多维护理 多元护理 创优护理 有创动脉血压监测 脓毒性休克 

分 类 号：R473.5[医药卫生—护理学]