摘要
目的探究焦点解决模式对急诊监护室(EICU)脓毒症患者床旁连续肾脏替代疗法(CRRT)治疗过程中急性生理功能和慢性健康状况评分系统Ⅱ(APACHEⅡ)评分及机械通气时间的影响。方法选取我院收治的60例EICU脓毒症患者作为研究对象,均行CRRT治疗,根据入院顺序将其随机分为对照组和观察组,各30例。对照组给予常规护理,观察组于对照组基础上实施焦点解决模式。比较两组的护理效果。结果观察组的机械通气时间及住院时间短于对照组,住院费用低于对照组(P<0.05)。干预后,观察组的匹兹堡睡眠质量量表各项评分均低于对照组(P<0.05)。干预后,观察组的APACHEⅡ评分低于对照组(P<0.05)。干预后,观察组的舒适度各项评分均高于对照组(P<0.05)。结论焦点解决模式应用于EICU脓毒症患者床旁CRRT治疗中,可缩短机械通气时间及住院时间、降低APACHEⅡ评分、改善患者睡眠质量、提高舒适度,并可减少住院费用。
Objective To investigate the effects of focus resolution mode on acute physiology and chronic health evaluationⅡ(APACHEⅡ)scoring system score and mechanical ventilation time in patients with sepsis in emergency department(EICU)treated with bedside continuous renal replacement therapy(CRRT).Methods A total of 60 patients with sepsis in EICU of our hospital were selected as the study objects,and treated with CRRT.According to the order of admission,the patients were randomly divided into control group and obseruation group,with 30 cases in each group.The control group was given routine nursing,and the observation group was given focus resolution mode on the basis of the control group.The nursing effect of the two groups was compared.Results The mechanical ventilation time and hospitalization time of the observation group were shorter than those of the control group,and the hospitalization cost was lower than that of the control group(P<0.05).After the intervention,the Pittsburgh sleep quality scale scores of the observation group were lower than those of the control group(P<0.05).After intervention,the APACHEⅡscore of the observation group were lower than those of the control group(P<0.05).After intervention,the comfort scores of the observation group were higher than those of the control group(P<0.05).Conclusion The focus resolution mode is applied to the bedside CRRT treatment of patients with sepsis in EICU can shorten the times of mechanical ventilation and hospitalization,reduce the APACHEⅡscore,and it can improve the quality of sleep and comfort,reduce the cost of hospitalization.
作者
田竟
张杨
张红梅
臧舒婷
张敬如
尚茜
TIAN Jing;ZHANG Yang;ZHANG Hong-mei;ZANG Shu-ting;ZHANG Jing-ru;SHANG Xi(EICU,Henan Provincial People's Hospital/People's Hospital of Zhengzhou University,Zhengzhou 450003,China)
出处
《临床医学研究与实践》
2020年第14期155-157,共3页
Clinical Research and Practice
基金
河南省科技攻关计划(No.172102310050)。
关键词
焦点解决模式
脓毒症
连续肾脏替代疗法
focus resolution mode
sepsis
continuous renal replacement therapy
