持续血液净化疗法治疗严重脓毒症的护理效果
Nursing effect of continuous blood purification therapy in treatment of severe sepsis.
作者信息
Wang Rui, Lin Lixia, Zhu Qunying, Niu Yujuan, Wang Min, Chen Taiming
机构信息
Department of Emergency Intensive Care Unit, The First Affiliated Hospital of Hainan Medical University Haikou 570102, Hainan, China.
Department of Cardiothoracic Surgery, The First Affiliated Hospital of Hainan Medical University Haikou 570102, Hainan, China.
出版信息
Am J Transl Res. 2021 Sep 15;13(9):10801-10808. eCollection 2021.
OBJECTIVE
To explore the nursing effect of continuous blood purification therapy in the treatment of severe sepsis patients.
METHODS
A total of 142 patients with severe sepsis in our hospital were divided into two groups, 70 patients in the experimental group who received an optimize nursing plan, while 72 patients in the control group were given routine nursing intervention. The SF-36 questionnaire, nursing satisfaction and serious adverse events and complications were collected.
RESULTS
The nursing intervention effect of the two groups after intervention were improved before intervention (P<0.05), and the patient's quality of life between the two groups (SF-36 questionnaire) in the experimental group was increased compared to that of the control group after nursing intervention. The nursing satisfaction scores of the experimental group were obviously improved after receiving optimize nursing intervention, and the scores in the experimental group were much higher than in the control group after receiving the intervention, namely (P<0.05). Moreover, the occurrence of serious adverse events and complications in the experimental group was decreased compared to that in the control group, especially the occurrence of acid base imbalance (P<0.05).
CONCLUSION
The patients with severe sepsis who received continuous blood purification therapy and optimized nursing intervention had shortened ICU hospitalization time, reduced mortality and complication rates, and improved nursing satisfaction and quality of life.
目的
探讨持续血液净化疗法对重症脓毒症患者的护理效果。
方法
将我院142例重症脓毒症患者分为两组，实验组70例，接受优化护理方案；对照组72例，给予常规护理干预。收集SF-36问卷、护理满意度以及严重不良事件和并发症情况。
结果
两组干预后的护理干预效果均较干预前有所改善（P<0.05），护理干预后实验组患者的生活质量（SF-36问卷）较对照组有所提高。实验组接受优化护理干预后护理满意度得分明显提高，且干预后实验组得分远高于对照组，即（P<0.05）。此外，实验组严重不良事件和并发症的发生率较对照组降低，尤其是酸碱失衡的发生率（P<0.05）。
结论
接受持续血液净化疗法及优化护理干预的重症脓毒症患者，ICU住院时间缩短，死亡率和并发症发生率降低，护理满意度和生活质量提高。
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