心肾综合征合并重症心衰患者实施ICNSS评分导向的分层护理效果评价  

Evaluation of ICNSS score-oriented stratified nursing for patients with cardio-renal syndrome complicated with severe heart failure

作　　者：周东梅 Zhou Dongmei(Mianyang Central Hospital,School of Medicine,University of Electronic Science and Technology of China,Mianyang,Sichuan 621000,China)

机构地区：[1]电子科技大学医学院附属绵阳医院·绵阳市中心医院,四川绵阳621000

出　　处：《首都食品与医药》2024年第24期128-130,共3页Capital Food Medicine

摘　　要：目的评价心肾综合征(CRS)合并重症心衰(HF)患者实施重症监护护理评分系统(ICNSS)评分导向的分层护理效果。方法选取2022年3月-2024年2月我院收治的88例CRS合并重症HF患者,采用随机数字表法分为B组(n=44)与A组(n=44)。A组实施常规护理,B组在A组基础上实施ICNSS评分导向的分层护理。比较两组康复情况、不良心血管事件发生情况、护理前后健康调查简表(SF-36)评分、患者护理满意度。结果护理后,B组住院时间、症状缓解时间、住ICU时间较A组短(P<0.05);护理期间,B组不良心血管事件发生率4.55%较A组的20.45%低(P<0.05);护理后,B组精神状态、躯体功能、生理功能评分较A组高(P<0.05);护理后,B组护理满意度97.73%较A组的81.82%高(P<0.05)。结论对CRS合并重症HF患者实施ICNSS评分导向的分层护理,可促进患者康复,减少不良心血管事件,改善患者生活质量,提高患者护理满意度。Objective To evaluate the effect of intensive Care Nursing Scoring System(ICNSS)scoring oriented stratified nursing in patients with cardio-renal syndrome(CRS)complicated with severe heart failure(HF).Methods 88 patients with CRS complicated with severe HF in our hospital from March 2022 to February 2024 were selected and divided into group B(n=44)and group A(n=44)by random number table method.Group A received routine care,group B received ICNSS scoring based on group A stratified care.The two groups were compared in terms of recovery,occurrence of adverse cardiovascular events,SF-36 scores before and after nursing,and patient satisfaction with nursing.Results After nursing,the hospital stay,symptom remission time and ICU stay time in group B were shorter than those in group A(P<0.05).The incidence of adverse cardiovascular events was 4.55%in group B compared with 20.45%in group A(P<0.05).After nursing,the scores of mental state,physical function and physiological function in group B were higher than those in group A(P<0.05).After nursing,the nursing satisfaction of group B was 97.73%higher than that of group A 81.82%(P<0.05).Conclusion The implementation of ICNSS score-oriented stratified nursing for CRS patients with severe HF can promote the recovery of patients,reduce adverse cardiovascular events,improve the quality of life of patients,and enhance the satisfaction of patients’nursing.

关 键 词：心肾综合征 重症心衰 重症监护护理评分系统 不良心血管事件 生活质量 

分 类 号：R473.5[医药卫生—护理学]