研究临床护理路径，以促进脓毒症休克中脓毒症捆绑包的有效实施。
Study on clinical nursing pathway to promote the effective implementation of sepsis bundle in septic shock.
机构信息
Department of Critical Medicine, Hebei General Hospital, No, 348 Heping West Road, Shijiazhuang, 050051, Hebei, China.
出版信息
Eur J Med Res. 2021 Jul 6;26(1):69. doi: 10.1186/s40001-021-00540-8.
BACKGROUND
There is still a certain gap between the effective implementation and requirements of sepsis bundle. Our aim is to establish the clinical nursing pathway of the cluster treatment of septic shock in the Intensive Care Unit and promote effective implementation of the cluster treatment of septic shock.
METHODS
By means of evidence-based method, quality control index requirements and on-site investigation, the implementation process of clinical nursing pathway of the cluster treatment within 6 h of diagnosis of septic shock was established.
RESULTS
After the implementation of clinical nursing pathway, the completion rate of septic shock cluster treatment was 81.4% (66.4%) in 1 h, 89.4% (77.0%) in 3 h, 95.5% (82.3%) in 6 h (P < 0.05), which was significantly improved in the experimental group compared with the control group.
CONCLUSIONS
The clinical nursing pathway of septic shock cluster treatment is guided by evidence-based nursing, which emphasizes standardization and standardization of septic shock cluster treatment nursing under the guidance of the guideline, and can promote the effective implementation of septic shock cluster treatment, significantly improve efficiency of septic shock treatment and the quality of medical care.
背景
脓毒症集束化治疗在有效实施和要求方面仍存在一定差距。目的在于建立重症监护病房脓毒性休克集束化治疗的临床护理路径，促进脓毒性休克集束化治疗的有效实施。
方法
采用循证医学方法、质量控制指标要求和现场调查，制定脓毒性休克诊断后 6 h 内临床护理路径的实施流程。
结果
实施临床护理路径后，实验组脓毒性休克集束化治疗完成率 1 h 为 81.4%（66.4%）、3 h 为 89.4%（77.0%）、6 h 为 95.5%（82.3%），与对照组比较，差异有统计学意义（P < 0.05）。
结论
脓毒性休克集束化治疗的临床护理路径以循证护理为指导，强调在指南指导下脓毒性休克集束化治疗护理的规范化和标准化，可促进脓毒性休克集束化治疗的有效实施，显著提高脓毒性休克治疗效率和医疗质量。
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