摘要
目的考察目标导向护理结合模块化护理在脓毒症患者中的应用效果。方法选取2021年1~12月于江南大学附属医院就诊的86例脓毒症患者作为研究对象,根据护理方法的不同分为对照组(43例)和观察组(43例)。对照组开展优质护理,观察组开展目标导向护理结合模块化护理。比较2组患者的28 d病死率、氧合功能、肾功能和循环功能。结果护理6 h后,2组的动脉血氧分压(PaO_(2))、中心静脉血氧饱和度(ScvO_(2))及氧合指数(PaO_(2)/FiO_(2))均较护理前升高(P均<0.05);观察组的PaO_(2)、PaO_(2)/FiO_(2)和ScvO_(2)均比对照组更高(P均<0.05)。护理6 h后,2组的心率均比护理前慢,中心动脉压和中心静脉压均比护理前高(P均<0.05);观察组的上述循环功能指标水平均比对照组更优(P均<0.05)。护理6 h后,2组的肌酐和尿素氮水平均比护理前低,尿量均比护理前多(P均<0.05);观察组的上述肾功能指标水平均比对照组更优(P均<0.05)。观察组患者的28 d病死率低于对照组(P<0.05)。结论目标导向护理结合模块化护理可有效改善脓毒症患者的氧合功能、循环功能和肾功能,降低28 d病死率。
Objective To investigate the application effect of goal-directed nursing combined with modular nursing in patients with sepsis.Methods A total of 86 patients with sepsis treated at the Affiliated Hospital of Jiangnan University from January to December 2021 were selected as the research subjects.According to different nursing methods,the patients were divided into a control group(43 cases)and an observation group(43 cases).The control group was given high-quality nursing,and the observation group was given goal-directed nursing combined with modular nursing.The 28-day mortality,oxygenation function,renal function,and circulatory function were compared between the two groups.Results After 6 hrs of nursing,the arterial partial pressure of oxygen(PaO_(2)),central venous oxygen saturation(ScvO_(2)),and oxygenation index(PaO_(2)/FiO_(2))in the two groups were higher than those before nursing(all P<0.05),and the PaO_(2),PaO_(2)/FiO_(2),and ScvO_(2) in the observation group were higher than those in the control group(all P<0.05).After 6 hrs of nursing,the heart rate of the two groups was slower than that before nursing,and the central arterial pressure and central venous pressure were higher than those before nursing(all P<0.05).The above-mentioned circulatory function indicators in the observation group were better than those in the control group(all P<0.05).After 6 hrs of nursing,the levels of creatinine and urea nitrogen in the two groups were lower than those before nursing,and the urine volume was greater than that before nursing(all P<0.05).The above-mentioned renal function indicators in the observation group were better than those in the control group(all P<0.05).The 28-day mortality in the observation group was lower than that in the control group(P<0.05).Conclusion Goal-directed nursing combined with modular nursing can effectively improve the oxygenation function,circulatory function,and renal function of sepsis patients,and reduce the 28-day mortality.
作者
沈翌卉
卞雯
朱娜
蔡萍
SHEN Yihui;BIAN Wen;ZHU Na;CAI Ping(Department of Outpatient and Emergency,Affiliated Hospital of Jiangnan University,Wuxi,Jiangsu,214122,China)
出处
《中西医结合护理（中英文）》
2022年第5期1-4,共4页
Journal of Clinical Nursing in Practice
关键词
脓毒症
目标导向护理
模块化护理
循环功能
氧合功能
sepsis
goal-directed nursing
modular nursing
circulatory function
oxygenation function
