目标导向性护理在脓毒血症休克患者中的干预效果及对其氧合功能的影响  

Intervention effect of goal-oriented nursing in patients with septic shock and its influence on oxygenation function

作　　者：张勇琼 吕兰兰[2] 张熙月 ZHANG Yongqiong;LYU Lanlan;ZHANG Xiyue(Infection Department,Ankang Central Hospital,Ankang 725000;Intensive Care Unit Department,the First Hospital of Yulin,Yulin 719000,China)

机构地区：[1]安康市中心医院感染科,陕西安康725000 [2]榆林市第一医院重症医学科,陕西榆林719000

出　　处：《临床医学研究与实践》2024年第18期138-141,共4页Clinical Research and Practice

基　　金：2020年科学技术研究与开发补助(No.YF-2020-032)。

摘　　要：目的探讨目标导向性护理在脓毒血症休克患者中的干预效果及对其氧合功能的影响。方法选取2020年5月至2022年5月收治的92例脓毒血症休克患者作为研究对象,采用随机数字表法将其分为对照组(46例,常规护理)和观察组(46例,目标导向性护理)。比较两组的氧合功能指标、循环功能指标及预后情况。结果干预后,观察组的动脉血氧分压(PaO_(2))、氧合指数(PaO_(2)/FiO_(2))和中心静脉血氧饱和度(ScvO_(2))显著高于对照组(P<0.05)。干预后,两组的心率低于干预前,中心静脉压(CVP)和平均动脉压(MAP)均高于干预前,且观察组优于对照组(P<0.05)。干预后,观察组的急性生理学及慢性健康状况评分系统-Ⅱ(APACHE-Ⅱ)、序贯器官衰竭(SOFA)评分显著低于对照组(P<0.05)。结论目标导向性护理可明显提高脓毒血症休克患者的病情控制效果,改善其氧合与循环功能,有效保护患者重要的脏器功能,预防器官功能衰竭,改善预后。Objective To explore the intervention effect of goal-oriented nursing in patients with septic shock and its influence on oxygenation function.Methods A total of 92 patients with septic shock admitted from May 2020 to May 2022 were selected as the research objects,and the patients were divided into control group(46 cases,routine nursing)and observation group(46 cases,goal-oriented nursing)by random number table method.The oxygenation function indexes,circulatory function indexes and prognosis of the two groups were compared.Results After intervention,the partial pressure of oxygen(PaO_(2)),partial pressure of oxygen/fraction of inspired oxygen(PaO_(2)/FiO_(2))and central venous oxygen saturation(ScvO_(2))in the observation group were significantly higher than those in the control group(P<0.05).After intervention,the heart rate of the two groups was lower than that before intervention,and the central venous pressure(CVP)and mean arterial pressure(MAP)were higher than those before intervention,and those in the observation group were better than the control group(P<0.05).After intervention,the scores of Acute Physiology and Chronic Health Evaluation-Ⅱ(APACHE-Ⅱ)and Sequential Organ Failure Assessment(SOFA)in the observation group were significantly lower than those in the control group(P<0.05).Conclusion The goal-oriented nursing can significantly enhance the condition control effect of patients with septic shock,ameliorate their oxygenation and circulatory function,effectively protect the important organ function of patients,prevent organ failure and improve prognosis.

关 键 词：脓毒血症休克 目标导向性护理 氧合功能 循环功能 

分 类 号：R473[医药卫生—护理学]