Effect of a nurse-led fluid responsiveness monitoring protocol in preventing fluid accumulation syndrome in patients with septic shock
10.3761/j.issn.0254-1769.2025.16.006
- VernacularTitle:护士主导的液体反应性监测方案对预防脓毒性休克患者液体积聚综合征的效果研究
- Author:
Lixia YE
1
;
Ye XU
1
;
Qin LI
1
;
Kexin JI
1
;
Hong ZHOU
1
Author Information
1. 310003 杭州市 浙江大学医学院附属第一医院护理部
- Publication Type:Journal Article
- Keywords:
Nurse;
Septic Shock;
Blood Volume;
Fluid Accumulation Syndrome;
Critical Care Nursing
- From:
Chinese Journal of Nursing
2025;60(16):1959-1966
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a nurse-led dynamic monitoring protocol for fluid responsiveness and to evaluate its effectiveness in preventing fluid accumulation syndrome in patients with septic shock.Methods A nurse-led dynamic monitoring protocol for fluid responsiveness was developed through literature review and expert panel discussion.Using convenience sampling,160 patients with septic shock admitted to the emergency department of a tertiary hospital in Hangzhou,Zhejiang Province,were enrolled.According to admission period,80 patients admitted from November 2023 to August 2024 were assigned to an intervention group,and 80 patients admitted from January 2023 to October 2023 were assigned to a control group.The intervention group received the nurse-led dynamic monitoring in addition to routine care,while the control group received routine care and conventional fluid responsiveness monitoring.The therapeutic outcomes and incidence of complications were compared between the 2 groups.Results All 80 patients in each group completed the study.The intervention group demonstrated higher lactate clearance rates at 6 and 24 hours after fluid resuscitation,lower incidences of acute pulmonary edema and fluid accumulation syndrome,and shortened durations of mechanical ventilation and ICU stay(all P＜0.05)compared to the control group.There was no statistically significant difference in 28-day mortality between the 2 groups(P=0.212).Conclusion The nurse-led dynamic monitoring protocol for fluid responsiveness in patients with septic shock is both scientific and practical.Its implementation can effectively improve lactate clearance,reduce the incidence of fluid accumulation syndrome and acute pulmonary edema,and shorten the duration of mechanical ventilation and ICU stay.
