早期目标导向性六部法护理在严重脓毒症患儿护理中的应用价值

Application value of early goal-oriented six-course nursing in children with severe sepsis

目的探讨早期目标导向性六部法护理用于严重脓毒症患儿护理中的价值。方法将2016年1月~2018年4月收治的严重脓毒症患儿82例根据护理方法不同分为对照组与观察组,每组41例,对照组接受常规护理,观察组在对照组基础上加早期目标导向性六部法护理,对两组干预前后APACHEⅡ评分、肠功能障碍评分、呼吸功能、死亡率进行观察。结果护理前,两组患儿APACHEⅡ评分及肠功能障碍评分差异无统计学意义(P> 0.05),护理后,观察组APACHEⅡ评分及肠功能障碍评分均低于对照组,差异有统计学意义(P <0.05);护理前,两组的呼吸频率、动脉氧分压、中心静脉-动脉二氧化碳分压、中心性静脉血氧饱和度等差异无统计学意义(P> 0.05),护理后,观察组的上述指标均优于对照组(P <0.05)。结论早期目标导向性六部法护理可有效改善严重脓毒症患儿肠功能及呼吸功能、血气指标,也利于患儿预后,值得推广。

Objective To explore the application Value of early goal-oriented six-course nursing in children with severe sepsis. Methods Eighty-two children with severe sepsis in hospital from January 2016 to April 2018 were selected and divided into control group and observation group according to different nursing methods, 41 cases in each group. The control group was given the routine nursing, and the observation group was given the goal-oriented six-course nursing on the basis of control group. The APACHE Ⅱ score, intestinal dysfunction score, respiratory function and mortality of the two groups were observed after nursing. Results There were no significant differences in APACHE Ⅱ score and intestinal dysfunction score between the two groups before nursing(P > 0.05), while the APACHE Ⅱ score and intestinal dysfunction score after the nursing in the observation group were lower than the control group, and the difference were statistically significant(P < 0.05). There were no significant differences in the respiratory frequency, arterial oxygen partial pressure, central venous-arterial carbon dioxide partial pressure, central venous oxygen saturation between the two groups before nursing(P > 0.05), while the indexes in the observation group after nursing were significantly better than those in the control group(P < 0.05). Conclusion Early goaloriented six-course nursing can effectively improve intestinal function, respiratory function and blood gas index of children with severe sepsis,which is beneficial to the prognosis. It is worthy of clinical promotion.