摘要
目的探究急诊ICU连续性血液净化患者应用优质护理服务的效果。方法选取2019年1月1日-2020年1月1日本院急诊ICU收治的78例连续性血液净化患者,根据双盲法分为对照组和观察组,每组39例。对照组接受传统护理服务,观察组接受优质护理服务,将两组患者护理效果进行比较。结果观察组护理风险事件发生率小于对照组,差异存在统计学意义(P<0.05)。观察组护理安全度评分、基础护理评分以及仪器操作准确性评分高于对照组,差异存在统计学意义(P<0.05)。观察组护理满意度高于对照组,差异存在统计学意义(P<0.05)。观察组的抢救成功率高于对照组,差异存在统计学意义(P<0.05)。护理前,两组患者的HAMA评分与HAMD评分差异不具有统计学意义(P>0.05);护理后,观察组患者的HAMA评分与HAMD评分均显著低于对照组,差异存在统计学意义(P<0.05)。护理前,两组患者的SF-36评分差异不具有统计学意义(P>0.05);护理后,观察组患者的SF-36评分均显著低高于对照组,差异存在统计学意义(P<0.05)。观察组饮食依从性评分、用药依从性评分、液体摄入依从性评分、透析治疗依从性评分高于对照组,差异存在统计学意义(P<0.05)。护理前,两组患者的HR、MBP、FiO_(2)、PaO_(2)、BUN、APACHE-Ⅱ评分、去甲肾上腺素水平差异不具有统计学意义(P>0.05);护理后,观察组患者的HR、FiO_(2)、BUN、APACHE-Ⅱ评分、去甲肾上腺素水平均显著低于对照组,MBP、PaO_(2)均显著高于对照组,差异存在统计学意义(P<0.05)。结论急诊ICU连续性血液净化患者采取优质护理服务可以取得显著成效,值得推广。
Objective To explore effect of quality nursing services to patients with continuous blood purification in emergency ICU.Methods The paper chose 78 cases consecutive blood purification patients in emergency ICU from January 1,2019 to January 1,2020,and divided them into control group and observation group according to double blind method,with 39 cases in each group.Control group was treated with traditional nursing services,while observation group with quality nursing services.Nursing effect between two groups was compared.Results Incidence of nursing risk events in observation group was lower than control group,with statistically significant difference(P<0.05).Nursing safety scores,basic nursing scores and instrument operation accuracy scores in observation group were higher than control group,with statistical significance(P<0.05).Nursing satisfaction degree of observation group was higher than control group,with statistically significant difference(P<0.05).Rescue success rate of observation group was higher than control group,with statistically significant difference(P<0.05).Before nursing,there was no significant difference between HAMA and HAMD scores between two groups(P>0.05).After nursing,HAMA and HAMD scores of patients in observation group were significantly lower than control group,difference was statistically significant(P<0.05).Before nursing,there was no significant difference in SF-36 scores between two groups(P>0.05).After nursing,SF-36 scores of patients in observation group were significantly lower than control group,with statistically significant difference(P<0.05).Scores of diet compliance,medication compliance,fluid intake compliance and dialysis treatment compliance in observation group were higher than control group,with statistical significance(P<0.05).Before nursing,there was no significant difference in HR,MBP,FiO_(2),PaO_(2),BUN,APACHE-Ⅱ scores and noradrenaline levels between two groups(P>0.05).After nursing,HR,FiO_(2),BUN,APACHE-Ⅱ scores and norepinephrine levels of patients in observation group were significantly lower than control group,while MBP and PaO_(2) were significantly higher than control group,with statistical significance(P<0.05).Conclusion Quality nursing service can achieve significant effect for patients with continuous blood purification in emergency ICU,which is worthy of promotion.
作者
段雄丽
DUAN Xiongli(Emergency Department,Qujing City First People's Hospital,Qujing,Yunnan,655000)
出处
《智慧健康》
2022年第36期193-197,共5页
Smart Healthcare
关键词
急诊
ICU
优质护理服务
连续性血液净化
效果
Emergency
ICU
Quality nursing service
Continuous blood purification
Effect
