目标导向性护理干预对脓毒血症休克患儿的心理状况及预后的影响
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摘要
目的分析目标导向性护理干预对脓毒血症休克儿童的心理状况及预后的影响。方法选择2014年1月至2016年1月期间本院重症监护室接诊的60例脓毒血症休克儿童进行研究,按照随机数字表法分为观察组(n=34)和对照组(n=26)。对照组给予常规护理干预,观察组在对照组基础上给予目标导向性护理干预。比较干预前后两组患儿心理状况,观察并分析两组患儿并发症发生情况。结果干预前,两组患儿的SAS评分和SDS评分比较差异均无统计学意义。干预后,两组患者的SAS评分和SDS评分水平均下降,且观察组低于对照组,两组比较差异具有统计学意义(P<0.05)。观察组总不良反应发生率为8.82%,明显低于对照组的29.17%,两组比较差异具有统计学意义(P<0.05)。结论目标导向性护理的脓毒血症休克患儿心理状况改善良好,不良反应发生率低,预后效果好,值得临床应用。
Objective To analyze the influence of goal oriented nursing intervention on the psychological status and prognosis of children with septic shock. Methods 60 cases of septic shock children received from January 2014 to January 2016 were studied and divided into the observation group(n=34) and the control group(n=26) according to the random digital table method. The control group was given routine nursing intervention,and the observation group was given goal oriented nursing intervention on the basis of the control group. The psychological state of the two groups before and after intervention was compared, and the complications of the two groups were observed and analyzed. Results There was no significant difference in SAS score and SDS score between the two groups before intervention. After intervention, the SAS score and SDS score of the two groups decreased, and the observation group was lower than the control group, the difference between the two groups was significant(P<0.05). The total incidence of adverse reactions in the observation group was 8.82%, which was significantly lower than that in the control group(29.17%). The difference between the two groups was statistically significant(P<0.05). Conclusion The psychological status of children with septic shock treated by goal-oriented nursing is improved well, the incidence of adverse reactions is low, and the prognosis is good. It is worthy of clinical application.
Objective To analyze the influence of goal oriented nursing intervention on the psychological status and prognosis of children with septic shock. Methods 60 cases of septic shock children received from January 2014 to January 2016 were studied and divided into the observation group(n=34) and the control group(n=26) according to the random digital table method. The control group was given routine nursing intervention,and the observation group was given goal oriented nursing intervention on the basis of the control group. The psychological state of the two groups before and after intervention was compared, and the complications of the two groups were observed and analyzed. Results There was no significant difference in SAS score and SDS score between the two groups before intervention. After intervention, the SAS score and SDS score of the two groups decreased, and the observation group was lower than the control group, the difference between the two groups was significant(P<0.05). The total incidence of adverse reactions in the observation group was 8.82%, which was significantly lower than that in the control group(29.17%). The difference between the two groups was statistically significant(P<0.05). Conclusion The psychological status of children with septic shock treated by goal-oriented nursing is improved well, the incidence of adverse reactions is low, and the prognosis is good. It is worthy of clinical application.
引文
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[2]刘大钺,林澜溪,杨永洁,等.降钙素原及N末端前体脑钠肽对脓毒血症预后判断的研究[J].中华医院感染学杂志,2014,24(21):5449-5451.
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[4]周光耀,张明,金玲湘,等.前降钙素原和C-反应蛋白对脓毒症早期诊断及预后评估的临床价值[J].中华医院感染学杂志,2014,24(4):1027-1029.
[5]黄燕,刘祺,李世琪,等.血管外肺水联合中心静脉-动脉二氧化碳分压差在脓毒性休克早期目标导向性治疗中的应用研究[J].重庆医科大学学报,2018(9):1253-1256.
[6]俞建娣,赵伟英,王志娟,等.综合性护理在ICU感染性休克患者中的应用效果分析[J].中华医院感染学杂志,2016,26(2):306-308.
[7]梁周,叶迎民,田佳.低剂量氢化可的松治疗感染性休克时对外周血T淋巴细胞凋亡的影响及机制[J].当代医学,2018,24(9):40-43.
[8]姜莉,贺琳晰,杨芳.脉博指示连续心排量监测在脓毒症休克患儿护理中的应用[J].中国医科大学学报,2015,44(11):1047-1048.
[9]金芸,顾莺,张玉侠,等.1例坏死性肠炎并发脓毒症低体重儿行持续血液净化治疗的护理[J].中华护理杂志,2014,49(11):1395-1397.
[10]王馥循,陈海勤,秦理,等ICU严重脓毒血症患者合并心肌损伤的相关因素分析及护理策略[J].中华医院感染学杂志,2017,27(23):5312-5314.