Effects of comprehensive nursing measures on septic shock patients' resuscitation related index in ICU
10.3760/cma.j.issn.1674-2907.2018.02.020
- VernacularTitle:综合护理措施对ICU感染性休克患者复苏相关指标的影响
- Author:
Shifeng HOU
1
;
Yin HE
Author Information
1. 首都医科大学附属北京同仁医院中心ICU
- Keywords:
Nursing care;
Intensive care units;
Shock;
septic;
Resuscitation
- From:
Chinese Journal of Modern Nursing
2018;24(2):210-213
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effects of comprehensive nursing measures on ICU septic shock patients' resuscitation related index at different time points, in order to summarize the most optimum nursing measures. Methods A total of 86 septic shock patients who were treated in ICU of Beijing Tongren Hospital Affiliated to Capital Medical University were selected as research objects, and divided them into observation group which was adopted comprehensive nursing model and control group which was adopted normal nursing model according to coin toss random method, with 43 cases in each group. Patients' heart rate (HR), mean arterial pressure (MAP), cardiac output index (CI) and oxygen saturation of mixed venose blood (SvO2) at 0 h (T0), 3 h (T1) and 6 h (T2) were compared between the two groups. Serum C reactive protein (CRP) was detected before and after intervention, and the curative effect was evaluated. The data in this study were collated and analyzed by statistical software SPSS 23.0. Results Compared with control group, effective rate of the observation group was 86.05%, and the difference had statistical significance (P< 0.05). In group comparison, compared with T0, there was no significant difference in HR and MAP between T1 and T2 in observation group (P>0.05), but SvO2and CI increased significantly in T1 and T2, and the differences were statistically significant (P<0.05). The decrease of HR in the control group was obvious in T2, while MAP, CI and SvO2increased obviously in T2, and the differences were statistically significant (P<0.05). There was no significant difference between the two groups in the time of T0 (P> 0.05). The SvO2and CI in the observation group were higher than those of the control group in time of T1 and T2, and the differences were statistically significant (P< 0.05). Before intervention, there was no significant difference in the CRP between the two groups (P> 0.05). After intervention, the CRP in the observation group (5.14±1.23) mg/L was lower than that in the control group (7.56±1.35) mg/L (P< 0.05).Conclusions Comprehensive nursing measures can relatively improve the prognosis of patients with septic shock in ICU ward, improve the level of CRP, and have less influence on the hemodynamics.
