预防性干预方案在脓毒血症卧床患者中的应用及压力性损伤的预防效果  

Application of preventive intervention program in patients with sepsis in bed and prevention effect of stress injury

作　　者：张伊丽[1] 王伟 曹程秀[3] Zhang Yili;Wang Wei;Cao Chengxiu(Shanghai Putuo District People′s Hospital Emergency Observation,Shanghai 200060,China;不详)

机构地区：[1]上海市普陀区人民医院急诊留观,200060 [2]上海市普陀区人民医院急诊医学科,200060 [3]上海市普陀区人民医院门急诊科,200060

出　　处：《山西医药杂志》2025年第7期488-492,共5页Shanxi Medical Journal

摘　　要：目的探讨预防性干预方案在脓毒血症卧床患者中的应用及压力性损伤的预防效果。方法回顾性分析我院在2021年3月至2023年12月收治108例脓毒血症卧床患者临床资料,依据不同干预方案分为对照组(56例)、观察组(52例)。对照组接受常规干预措施,观察组接受基于Logistic回归模型结果制订预防性干预方案,2组均从入院干预至出院。比较2组相关指标。结果卧床时间长、局部皮肤潮湿、约束带过紧、营养不良均属影响脓毒血症卧床患者压力性损伤的危险因素(OR=1.194、1.184、1.186、1.191,均P<0.05);观察组患者干预后压力性损伤总发生率(3.8%)比对照组(16.1%)低(P<0.05);观察组患者干预后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、匹茨堡睡眠质量指数量表(PSQI)评分分别为(7.3±1.0)、(7.5±1.0)、(3.4±0.7)分,比对照组的(12.5±2.0)、(11.6±1.3)、(6.0±0.8)分均更低(P<0.05);观察组患者干预后血氧饱和度(SpO_(2))为(95.8±1.1)%,比对照组的(93.5±1.0)%更高,呼吸频率、心率(HR)分别为(21.3±1.6)、(89.0±5.7)次/min,比对照组的(26.5±2.1)、(104.5±10.2)次/min更低(P<0.05);观察组患者干预后总满意度为94.2%,比对照组的78.6%高(P<0.05)。结论预防性干预方案有预防脓毒血症卧床患者发生压力性损伤作用,同时缓解焦虑、抑郁情绪,稳定生命体征,提升睡眠质量及满意度。Objective To investigate the application of preventive intervention scheme in patients with sepsis in bed and the preventive effect of stress injury.Methods The clinical data of 108 patients with sepsis in bed in our hospital from March 2021 to December 2023 were retrospectively analyzed,and they were divided into a control group(n=56)and an observation group(n=52)according to different intervention schemes.The control group received routine intervention,and the observation group received preventive intervention based on the results of Logistic regression model.Both groups received intervention from admission to discharge.Compare the two groups of relevant indicators.Results Long bedtime,local skin moisture,tight restraint band and malnutrition were all risk factors for stress injury in patients with sepsis in bed(OR=1.194,1.184,1.186,1.191,all P<0.05).The total incidence of stress injury in the observation group(3.8%)was lower than that in the control group(16.1%)(P<0.05).After the intervention,the scores of the Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and Pittsburgh Sleep Quality Index Scale(PSQI)in the observation group were(7.3±1.0),(7.5±1.0),and(3.4±0.7),respectively.The scores were lower than those of the control group(12.5±2.0),(11.6±1.3),and(6.0±0.8)(P<0.05).After the intervention,SpO_(2)of the observation group was(95.8±1.1)%,higher than that of the control group(93.5±1.0)%,respiratory rate and heart rate(HR)were(21.3±1.6)and(88.97±5.7)times/min,respectively.It was lower than that of the control group(26.5±2.1)and(104.5±10.2)times/min(P<0.05).The total satisfaction of the observation group was 94.2%,which was higher than 78.6%of the control group(P<0.05).Conclusion Preventive intervention has the effect of preventing stress injury in patients with sepsis in bed and can relieve anxiety and depression,stabilize vital signs,and improve sleep quality and nursing satisfaction.

关 键 词：脓毒症 卧床者 危重症 预防效果 心理状态 睡眠质量 

分 类 号：R47[医药卫生—护理学]