Influencing factors of prognosis and nursing strategies in sepsis combined with gastrointestinal dysfunction
10.3969/j.issn.1009-0754.2025.06.016
- VernacularTitle:脓毒症合并胃肠功能障碍的预后影响因素及针对性护理策略分析
- Author:
Weihong PAN
1
;
Bojun ZHENG
;
Ping CAO
Author Information
1. 511400 广东 广州,广东省中医院(广州中医药大学第二附属医院)重症医学科
- Keywords:
Sepsis;
Gastrointestinal dysfunction;
Prognosis;
Influencing factor;
Nursing measure
- From:
Journal of Navy Medicine
2025;46(6):609-613
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influencing factors of prognosis and nursing strategies in sepsis combined with gastrointestinal dysfunction.Methods The clinical data of 102 patients with sepsis and gastrointestinal dysfunction who were admitted to Traditional Chinese Medicine Hospital of Guangdong Province(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine)between June 2022 and December 2023 were retrospectively analyzed.According to the prognosis within 30 d,the patients were assigned to death group(n=38)or survival group(n=64).Clinical indexes were compared between the two groups.The main influencing factors of prognosis were analyzed by Logistic regression,and targeted nursing strategies were summarized.Results The mortality in the patients with sepsis and gastrointestinal dysfunction was 37.25%(38/102).Univariate analysis showed that age,Sequential Organ Failure Assessment(SOFA)score,Acute Physiology and Chronic Health Evaluation Ⅱ(APACHE Ⅱ)score,gastrointestinal failure(GIF)score,and stay time in ICU were all influencing factors of prognosis in patients with sepsis and gastrointestinal dysfunction(all P<0.05).Logistic regression analysis showed that age≥65 years,SOFA score>6,APACHEⅡscore>17,GIF score>3,and stay time in ICU>7 d were independent risk factors of poor prognosis in patients with sepsis and gastrointestinal dysfunction(all P<0.05).Conclusion The poor prognosis of patients with sepsis and gastrointestinal dysfunction is related to age,SOFA score,APACHEⅡscore,GIF score,and stay time in ICU.It is essential to take preventive and nursing measures for these risk factors to reduce the incidence of poor prognosis.
