摘要
目的:观察基于气血理论展开相关护理对脓毒症急性肾损伤患者预后的影响。方法:将80例脓毒症急性肾损伤患者按随机数字表法分为观察组和对照组各40例。对照组给予常规护理,观察组在对照组的基础上给予基于气血理论的相关护理干预。比较2组护理前后急性心理学与慢性健康状况(APACHEⅡ)评分、序贯器官衰竭评估(SOFA)评分。结果:护理前,2组APACHEⅡ、SOFA评分比较,差异无统计学意义(P>0.05);护理后,2组APACHEⅡ、SOFA评分均较治疗前降低(P<0.05),且观察组APACHEⅡ、SOFA评分均低于对照组(P<0.05)。护理前,2组SF-36量表中心理功能、躯体健康、社会功能、物质生活等评分比较,差异均无统计学意义(P>0.05);护理后,2组心理功能、躯体健康、社会功能、物质生活评分均较治疗前升高(P<0.05),且观察组上述各项评分均高于对照组(P<0.05)。结论:基于气血理论对脓毒症合并急性肾损伤患者展开相关护理,可有效改善患者的健康状况,延缓器官衰竭,提高生活质量。
Objective:To observe the effect of qi and blood theory-based nursing on the prognosis of sepsis patients with acute kidney injury.Methods:A total of 80 sepsis patients with acute kidney injury were randomly divided into the observation group and the control group according to the random number table method,with 40 cases in each group.The control group was given routine nursing,and the observation group was additionally intervened with qi and blood theory-based nursing in addition to the treatment of the control group.Before and after nursing,the scores of Acute Psychology and Chronic Health Evaluation II(APACHE Ⅱ) and Sequential Organ Failure Assessment(SOFA) were compared between the two groups.Results:Before nursing,there was no significant difference being found in the comparisons of scores of APACHE Ⅱ and SOFA between the two groups(P>0.05);after nursing,the above two scores in the two groups were decreased when compared with those before treatment(P<0.05),and the above two scores in the observation group were lower than those in the control group(P<0.05).Before nursing,there was no significant difference being found in the comparisons of the scores of indexes in SF-36 scale between the two groups(P>0.05),including psychological function,physical health,social function and material life;after nursing,the scores of psychological function,physical health,social function and material life in the two groups were increased when compared with those before treatment(P<0.05),and the above scores in the observation group were higher than those in the control group(P<0.05).Conclusion:Nursing care of patients with sepsis complicated with acute renal injury based on Qi and blood theory can significantly improve the health status of patients,delay the organ failure and enhance the quality of life.
作者
张芬芬
黄小琴
丁海蛟
ZHANG Fenfen;HUANG Xiaoqin;DING Haijiao
出处
《新中医》
CAS
2022年第16期179-182,共4页
New Chinese Medicine
关键词
脓毒症
急性肾损伤
气血理论
护理
急性心理学与慢性健康状况
序贯器官衰竭评估
Sepsis
Acute kidney injury
Qi and blood theory
Nursing
Acute Psychology and Chronic Health Evaluation
Sequential Organ Failure Assessment
