摘要
目的 探讨基于JBI循证的护理干预在脓毒性休克患者抢救中的应用价值,以提升抢救效果及患者预后。方法 选取2022年1月-2024年1月收治的160例脓毒性休克患者,按组间基线资料均衡可比的原则分为对照组80例和观察组80例。对照组采用常规抢救护理流程,观察组实施基于JBI循证模式的护理干预。观察两组患者的相关临床指标、格拉斯哥昏迷指数(GCS)、急性生理与慢性健康状况评分系统(APACHE Ⅱ)、复苏指标、并发症、护理满意度。结果 观察组意识恢复、呼吸机使用、住院时间均短于对照组,C反应蛋白低于对照组,差异有统计学意义(P<0.05)。干预后,观察组GCS高于对照组,APACHE Ⅱ评分低于对照组,差异有统计学意义(P<0.05)。干预后,观察组混合静脉血氧饱和度、平均动脉压高于对照组,心率低于对照组(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05),观察组护理满意程度高于对照组,差异有统计学意义(P<0.05)。结论 为脓毒性休克患者提供JBI循证护理干预能促进患者疾病及早康复,减少并发症,提升其生存质量及满意率。
Objective To explore the application value of nursing intervention based on the JBI evidence-based in patients with septic shock,so as to improve rescue effects and patient prognosis..Methods A total of 160 patients with septic shock admitted from January 2022 to January 2024 were selected as research subjects.According to the principle of balanced and comparable baseline data between groups,they were divided into a control group and an observation group,with 80 cases in each group.The control group received routine resuscitation care process,while the observation group implemented nursing intervention based on the JBI evidence-based model.The relevant clinical indicators,Glasgow Coma Scale(GCS),Acute Physiology and Chronic Health Evaluation Scoring System(APACHE-II),resuscitation indicators,complications,and nursing satisfaction of both groups of patients were observed.Results The time to consciousness recovery,duration of mechanical ventilation,and length of hospital stay in the observation group were shorter than those in the control group,and the C-reactive protein was lower than that in the control group,the differences were statistically significant(P<0.05).After the intervention,the GCS score in the observation group was higher than that in the control group,and the APACHE II score was lower than that in the control group,the differences were statistically significant(P<0.05).After the intervention,the mixed venous oxygen saturation and mean arterial pressure in the observation group were higher than those in the control group,while the heart rate was lower than that in the control group(P<0.05).The total incidence of complications in the observation group was fewer compared to the control group,the difference was statistically significant(P<0.05).The nursing satisfaction in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Providing nursing interventions based on the JBI model for patients with septic shock can promote early recovery of patients,reduce complications,and improve their quality of life and satisfaction rates.
作者
王艳
金丽
蒋一阳
何佳琪
杨淑婷
王海燕
WANG Yan;JIN Li;JIANG Yiyang;HE Jiaqi;YANG Shuting;WANG Haiyan(Nantong Third People's Hospital,Nantong 226000,China)
出处
《护理实践与研究》
2025年第10期1535-1540,共6页
Nursing Practice and Research
基金
南通市卫生健康委员会科研课题(编号:MS2022061)。
关键词
脓毒性休克
JBI循证
并发症
复苏质量
生存质量
Septic shock
JBI evidence-based
Complications
Resuscitation quality
Quality of life
