基于休克指数指导的风险分级护理在创伤性休克患者中的应用效果

Application effect of risk grading nursing based on shock index guidance in patients with traumatic shock

目的探讨基于休克指数指导的风险分级护理在创伤性休克患者中的应用效果。方法选择2019年12月—2020年12月在医院进行救治的创伤性休克患者108例作为研究对象,按照组间基本特征具有可比性的原则分为对照组和观察组,每组54例。对照组给予常规护理干预,观察组在对照组基础上实施基于休克指数指导的风险分级护理,比较两组分诊时间、抢救时间、休克纠正时间、苏醒时间、抢救成功率;护理前后急性生理学及慢性健康状况评分(APACHEⅡ)、快速急诊生理评分表(REMS)评分、护理满意度、生活质量量表(QOL)评分。结果观察组患者分诊时间、抢救时间、休克纠正时间、苏醒时间均短于对照组,抢救成功率高于对照组,各项满意度评分高于对照组,组间比较差异具有统计学意义(P<0.05)。护理干预前,两组患者APACHEⅡ、REMS、QOL评分比较差异无统计学意义(P>0.05);护理干预后,观察组APACHEⅡ、REMS评分均低于对照组,QOL评分高于对照组,组间比较差异具有统计学意义(P<0.05)。结论在创伤性休克患者中应用休克指数指导的风险分级护理,可缩短疾病分诊、救治的时间,促进临床症状改善,提高抢救成功率和患者满意度,改善其生活质量。

Objective To explore the application eff ect of risk classifi cation based on shock index guidance in patients with traumatic shock.Methods 108 patients with traumatic shock treated in the hospital from December 2019 to December 2020 were selected as the research objects.According to the principle of comparability of basic characteristics between groups,they were divided into a control group and an observation group,with 54 cases in each group.The control group was given routine nursing intervention,the observation group was given risk grading nursing guided by shock index on the basis of the control group.The triage time,rescue time,shock correction time,recovery time and rescue success rate were compared between the two groups.Acute physiology chronichealth evaluation scoring system(APACHEⅡ),Rapid Emergency Physiology Score(REMS),nursing satisfaction level,Quality of Life(QOL)score before and after nursing.Results The triage time,rescue time,shock correction time and recovery time of the observation group were shorter than the control group,the success rate of rescue was higher than the control group,and the satisfaction score was higher than the control group,the diff erences between the two groups were statistically signifi cant(P<0.05).Before nursing intervention,there was no signifi cant diff erence in APACHEⅡ,REMS and QOL scores between the two groups(P>0.05).After nursing intervention,the APACHEⅡand REMS scores of the observation group were lower than the control group,and the QOL score was higher than the control group,and the diff erences between the groups were statistically significant(P<0.05).Conclusions The application of risk grading nursing guided by shock index in patients with traumatic shock could shorten the time of disease triage and treatment,promote the improvement of clinical symptoms,improve the success rate of rescue and patients'satisfaction,and improve their quality of life.