Shen Guofeng, He Yunfen, Ni Jindi, Jiang Lijing, Xia Zhuye, Liu Hongjie, Pan Shengfu, Wang Hui, Hu Wei, Li Xiang
Department of Critical Care Medicine, Minhang Hospital, Fudan University Shanghai, China.
Department of Nursing, Minhang District Maternal and Child Health Hospital of Shanghai Shanghai, China.
Am J Transl Res. 2021 Jul 15;13(7):8221-8227. eCollection 2021.
To explore the effect of comprehensive nursing on negative emotion and prognosis of patients with sepsis.
As a prospective study, 104 patients with sepsis were randomized into the observation group (n=52) and the control group (n=52). The patients in the control group underwent routine nursing, whereas the patients in the observation group underwent comprehensive nursing care in addition to routine nursing. The level of negative emotions, patients' prognosis, quality of life (QOL), Acute Physiology and Chronic Health Evaluation (APACHE) ll score, clinical indicators, and patient satisfaction with nursing were compared between the two groups.
Compared with the control group, the observation group had lower Self-Rating Anxiety Scale score, Self-Rating Depression Scale score, and APACHE ll score (all P<0.001). The scores of physical functioning, general health perceptions, social role functioning, emotional role functioning, and mental health of the observation group were all higher than those of the control group (all P<0.01). The duration of mechanical ventilation, hospitalization expenses, and the length of stay in the Intensive Care Unit (ICU) in the observation group were lower than those in the control group (all P<0.01). Moreover, the observation group had a lower total incidence of shock, multiple organ dysfunction syndrome, and death and higher patient satisfaction with the nursing care than the control group (all P<0.05).
Comprehensive nursing care can alleviate anxiety and depression in patients with sepsis and can improve the prognosis and QOL of patients. Also, it can shorten the length of stay in the ICU, lower treatment costs, and improve patient satisfaction; all of which can be recommended for clinical application.
探讨综合护理对脓毒症患者负性情绪及预后的影响。
作为一项前瞻性研究，104例脓毒症患者被随机分为观察组（n = 52）和对照组（n = 52）。对照组患者接受常规护理，而观察组患者在常规护理的基础上接受综合护理。比较两组患者的负性情绪水平、预后、生活质量（QOL）、急性生理与慢性健康状况评分系统（APACHE）Ⅱ评分、临床指标以及患者对护理的满意度。
与对照组相比，观察组的自评焦虑量表评分、自评抑郁量表评分和APACHEⅡ评分均较低（均P < 0.001）。观察组的生理功能、总体健康感知、社会角色功能、情感角色功能和心理健康评分均高于对照组（均P < 0.01）。观察组的机械通气时间、住院费用和重症监护病房（ICU）住院时间均低于对照组（均P < 0.01）。此外，观察组休克、多器官功能障碍综合征和死亡的总发生率较低，患者对护理的满意度高于对照组（均P < 0.05）。
综合护理可减轻脓毒症患者的焦虑和抑郁情绪，改善患者的预后和生活质量。还可缩短ICU住院时间，降低治疗费用，提高患者满意度；所有这些均可推荐用于临床应用。
