摘要
目的探讨急救护理方案应用于肿瘤并发多器官功能障碍综合征(MODS)患者的临床效果。方法选取2014年6月至2016年6月间攀枝花市中西医结合医院收治的116例肿瘤并发MODS患者,采用随机数字表法分为研究组与对照组,每组58例。对照组采用对症支持治疗、连续性肾脏替代治疗(CRRT)及常规急救护理措施,研究组患者在对照组基础上应用综合急救护理干预。采用急性生理与慢性健康评分(APACHEⅡ)对比两组患者急救0h与12h后病情变化,两组患者急救后7d与21d的死亡率,调查两组护理满意度。结果研究组患者急救12h后APACHEⅡ评分为(17.5±6.5)分,低于对照组的(23.8±4.5)分,两组比较差异有统计学意义(P<0.05)。研究组患者急救后7d和21d的死亡率为1.7%和3.5%,与对照组的3.5%和6.9%比较差异均无统计学意义(均P>0.05)。研究组患者护理满意率为100.0%,高于对照组的89.7%,两组比较差异有统计学意义(P<0.05)。结论综合急救护理方案在肿瘤并发MODS患者中具有显著的应用效果,能有效改善预后,提高护理满意度。
Objective To study the efficacy of emergency care scheme for cancer patients complicated with multiple organ dysfunction syndrome（ MODS）. Methods Select 116 MODS patients admitted to Panzhihua Hospital of Integrated Traditional Chinese Medicine and Western Medicine between June 2014 and June 2016. Using random number table,patients were divided into an observation group and a control group,with 58 patients in each group. The observation group was given comprehensive emergency nursing intervention on the basis of symptomatic support,continuous renal replacement therapy（ CRRT） and conventional first aid and the control group was given the above care except comprehensive emergency nursing intervention. Using acute physiology and chronic health evaluation scoreⅡ（ APACHE） changes conditions at 0h and 12 h and mortality at 7d and 21 d after emergency were compared between the two groups. Nursing satisfaction questionnaire was used to compare nursing satisfaction between the two groups. Results At 12 h after the first aid,APACHEⅡ score was lower in the observation group（ 17. 5 ± 6. 5） than in the control group（ 23. 8 ± 4. 5）（ P 0. 05）. Mortality rate at 7d and 21 d after the first aid was 1. 7% and 3. 5% respectively for the observation group which was not significantly different with 3. 5% and 6. 9% of the control group（ P 0. 05）. Nursing satisfaction rate was 100. 0% for the observation group which was higher than89. 7% of the control group（ P 0. 05）. Conclusion Comprehensive emergency care scheme has significant efficacy in cancer patients complicated with MODS,which can effectively improve the prognosis and nursing satisfaction.
作者
王宏
文雯
WANG Hong WEN Wen(Department of Emergency, Panzhihua Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Panzhihua 617000, China)
出处
《中国肿瘤临床与康复》
2017年第2期250-253,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
急救护理
肿瘤
多器官功能障碍综合征
Emergency care
Neoplasms
Multiple organ dysfunction syndrome
