优化罗伊适应模式评估对SIRS早期患者预后的影响

Effect of assessing patients with early SIRS through optimized Roy adaptation model on prognosis of patients

目的探讨优化罗伊适应模式评估对SIRS早期患者预后的影响。方法选取2015年68例SIRS早期患者为对照组,采用整体护理模式进行病情观察及护理;选取2016年68例SIRS早期患者为观察组,运用优化罗伊适应模式进行病情评估,将发现的问题及时报告医生,根据医嘱进行处置。结果观察组SIRS早期发现问题及对症处理的例次多于对照组,ICU平均住院时间,感染性休克、MODS发生率及病死率显著低于对照组,SIRS3、SIRS4期的例数显著少于对照组(均P<0.01)。结论优化罗伊适应模式评估SIRS早期患者,可使护理人员快速确定SIRS早期患者现存问题,及时给予对症处理,从而改善患者预后。

Objective To explore the effect of assessing patients with early SIRS through optimized Roy adaptation model on progno sis of patients. Methods A total of 68 patients with early SIRS in 2015 were treated as the control group, and were given observation and nursing according to holistic nursing mode; another 68 cases of SIRS patients in 2016 were assigned into the observation group, who were assessed through optimized Roy adaptation model, and nurses reported abnormal findings to their doctor, and executed treatment plans as ordered. Results In the observation group, nurses had more abnormal findings and provided more symptom-fitted treatment than in the control group; the former group had shorter ICU stay, fewer incidence rates of septic shock, MODS, and fe wer mortality rate, and fewer cases advancing into SIRS3 and SIRS4, than the latter group（P〈0.01 for all）. Conclusion Assess ment of patients with early SIRS through optimized Roy adaptation model can help nurses discover patients＇ abnormal conditions, and provide timely and symptom-fitted treatment, which is beneficial to patients＇ prognosis.