重症脓毒血症经连续性血液净化治疗过程中的护理方法及效果分析

Nursing Method and Effect Analysis of Severe Sepsis During Continuous Blood Purification Treatment

目的探讨分析为接受连续性血液净化治疗的重症脓毒血症患者实施针对性护理干预的临床效果。方法2016年2月-2019年3月,方便选取该院确诊收治的22例接受连续性血液净化治疗的重症脓毒血症患者随机等分为两组,每组11例,为参照组行常规护理干预,为研究组行针对性护理干预,对比两组的护理满意度,并发症发生率,以及临床行为依从性评分指标。结果研究组的护理满意度90.91%(10/11)高于参照组81.82%(9/11),组间差异有统计学意义(χ^2=3.948,P<0.05)。研究组的并发症发生率9.09%(1/11)低于参照组27.27%(3/11),组间差异有统计学意义(χ^2=4.754,P<0.05)。研究组的饮食依从性评分指标(32.25±3.86)分高于参照组(29.88±4.08)分,组间差异有统计学意义(t=2.735,P<0.05)。研究组的用药依从性评分指标(19.13±3.18)分高于参照组(16.75±2.91)分,组间差异有统计学意义(t=3.578,P<0.05)。研究组的液体摄入依从性评分指标(22.14±3.16)分高于参照组(20.25±3.19)分,组间差异有统计学意义(t=2.728,P<0.05)。研究组的透析治疗依从性评分指标(14.86±2.88)分高于参照组(12.75±2.52)分,组间差异有统计学意义(t=3.573,P<0.05)。结论为接受连续性血液净化治疗的重症脓毒血症患者实施针对性护理干预,能获取较好效果。

Objective To explore and analyze the clinical effect of targeted nursing intervention for patients with severe sepsis receiving continuous blood purification treatment.Methods From February 2016 to March 2019,22 cases of severe sepsis patients admitted to the hospital who received continuous blood purification treatment were convenient selected randomly divided into two groups,11 cases in each group,as the reference group,with routine nursing interventions,targeted nursing interventions for the study group,comparing the nursing satisfaction,incidence of complications,and clinical behavior compliance score indicators of the two groups.Results The nursing satisfaction of the study group was 90.91%(10/11)higher than that of the reference group 81.82%(9/11),and there were statistically significant differences between the groups(χ^2=3.948,P<0.05).The incidence of complications in the study group was 9.09%(1/11)lower than that in the reference group,27.27%(3/11),and there were statistically significant differences between the groups(χ^2=4.754,P<0.05).The score of the diet compliance points of the study group(32.25±3.86)points was higher than that of the reference group(29.88±4.08)points,and there was statistically significant difference between the groups(t=2.735,P<0.05).The score of the medication compliance points of the study group(19.13±3.18)points was higher than that of the reference group(16.75±2.91)points,and there was statistically significant difference between the groups(t=3.578,P<0.05).The fluid intake compliance points index of the study group(22.14±3.16)points was higher than that of the reference group(20.25±3.19)points,and there were statistically significant differences between the two groups(t=2.728,P<0.05).The dialysis treatment compliance points index of the study group(14.86±2.88)points was higher than that of the reference group(12.75±2.52)points,with statistically significant differences between groups(t=3.573,P<0.05).Conclusion The implementation of targeted nursing intervention for severe sepsis patients receiving continuous blood purification treatment can obtain good results.