摘要
目的探讨罗伊(Roy)适应模式护理联合心理干预在重症监护室(ICU)脓毒症患者中的应用效果。方法2021年3月至2023年3月,选取中山市人民医院ICU收治的80例脓毒症患者,按照随机数字表法将其分组[对照组(40例,常规护理联合心理干预)和观察组(40例,常规护理+心理干预+Roy适应模式护理)],并比较2组的护理效果。结果护理3 d和7 d后,2组的氧合指标数值(血氧饱和度、动脉血氧分压及氧合指数)和血液电解质水平(钾离子、钙离子、钠离子及氯离子)均优于入住ICU时,尿量均多于入住ICU时,空腹血糖水平和心理状态评分(汉密尔顿抑郁量表和汉密尔顿焦虑量表)均低于入住ICU时(P均<0.05),且观察组均优于同期对照组(P均<0.05)。结论Roy适应模式护理联合心理干预可改善患者的氧合指标、尿量和心理状态,纠正其血液电解质水平,稳定其血糖水平。
Objective To explore the application effect of Roy's adaptation model nursing combined with psychological intervention in sepsis patients in the intensive care unit(ICU).Methods From March 2021 to March 2023,80 sepsis patients admitted to the ICU of Zhongshan City People's Hospital were randomly divided into a control group(40 cases,routine nursing combined with psychological intervention)and an observation group(40 cases,routine nursing+psychological intervention+Roy's adaptation model nursing)according to a random number table method,and the nursing effects of the two groups were compared.Results After 3 and 7 days of nursing,the oxygenation index values(oxygen saturation,arterial partial pressure of oxygen and oxygenation index)and blood electrolyte levels(kalium ion,calcium ion,sodium ion and chloride ion)of the two groups were better than those at the time of admission to the ICU,and the urine output of both groups was more than that at admission to the ICU.The fasting blood glucose levels and the psychological state scores(Hamilton Depression Rating Scale and Hamilton Anxiety Scale)of both groups were lower than those at admission to the ICU(all P<0.05),and the above indicators and scores of the observation group were better than those of the control group during the same period(all P<0.05).Conclusion Roy's adaptation model nursing combined with psychological intervention can improve patientsoxygenation indexes,urine output,and psychological status,correct their blood electrolyte levels,and stabilize their blood glucose levels.
作者
彭迟燕
刘宇霞
PENG Chiyan;LIU Yuxia(Zhongshan City People's Hospital,Zhongshan,Guangdong,528400,China)
出处
《中西医结合护理（中英文）》
2024年第9期17-20,共4页
Journal of Clinical Nursing in Practice
关键词
脓毒症
罗伊适应模式
心理干预
氧合指标
电解质水平
sepsis
Roy's adaptation model
psychological intervention
oxygenation index
electrolyte level
