摘要
目的:探讨基于急性生理与慢性健康评分(APACHEⅡ)的预见性护理干预模式对老年重症脓毒症患者预后的影响。方法:选取2018年1月-2021年1月河南大学第一附属医院收治的84例老年重症脓毒症患者的临床资料,按随机数表法分为对照组和实验组,每组各42例。对照组采用常规护理,实验组在常规护理的基础上采用基于APACHEⅡ评分的预见性护理干预模式。比较两组患者临床治疗情况、APACHEⅡ评分、临床行为依从性评分、并发症发生率及护理满意度。结果:实验组抗生素使用时间、机械通气使用时间、住院时间较对照组短,差异有统计学意义(t=16.113、5.503、22.606,P<0.05);干预后,实验组APACHEⅡ评分较对照组低,差异有统计学意义(t=9.405,P<0.05);实验组用药依从性、饮食依从性、液体摄入依从性评分较对照组高,差异有统计学意义(t=4.751、3.447、3.905,P<0.05);两组患者并发症发生率比较,差异无统计学意义(χ^(2)=0.180,P>0.05);实验组护理满意度较对照组高,差异有统计学意义(χ^(2)=4.087,P<0.05)。结论:基于APACHEⅡ评分的预见性护理干预模式应用于老年重症脓毒症患者中,可缩短抗生素使用时间和机械通气时间,预防并发症,减轻病情严重程度,加快患者恢复进程,缩短住院时间,提高依从性与护理满意度。
Objective:To investigate the effect of predictive nursing intervention mode based on acute physiology and chronic health score(APACHE II)on the prognosis of elderly patients with severe sepsis.Methods:The clinical data of 84 elderly patients with severe sepsis admitted to the hospital from January 2018 to January 2021 were selected and divided into a control group and an experimental group according to the random number table method,with 42 cases in each group.The control group was given routine nursing,and the experimental group was given the predictive nursing intervention mode based on APACHE II score.The clinical treatment,Apache II score,clinical behavior compliance score,complication rate and nursing satisfaction were compared between the two groups.Results:The duration of antibiotic use,mechanical ventilation and hospital stay in the experimental group were shorter than those in the control group,and the differences were statistically significant(t=16.113,5.503,22.606,P<0.05).After the intervention,the APACHE II score of the experimental group was lower than that of the control group,and the difference was statistically significant(t=9.405,P<0.05).The scores of medication compliance,dietary compliance,and fluid intake compliance in the experimental group were higher than those in the control group,and the differences were statistically significant(t=4.751,3.447,3.905,P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(χ^(2)=0.180,P>0.05).The nursing satisfaction of the experimental group was higher than that of the control group,and the difference was statistically significant(χ^(2)=4.087,P<0.05).Conclusion:The predictive nursing intervention model based on APACHEⅡscore is applied to elderly patients with severe sepsis,which can shorten the time of antibiotic use and mechanical ventilation,prevent complications,reduce the severity of the disease,speed up the recovery process of patients,shorten the hospitalization time,and improve the patients’compliance and nursing satisfaction.
作者
张晨
高艳艳
郑寒月
ZHANG Chen;GAO Yan-yan;ZHENG han-yue(Department of Critical Medi-cine,The First Affiliated Hospital of Henan University,Kaifeng,Henan,475001,China)
出处
《黑龙江医学》
2022年第20期2537-2539,共3页
Heilongjiang Medical Journal
基金
2013年河南省医学科技攻关计划项目(201303115)。
关键词
老年人
重症脓毒症
急性生理与慢性健康评分
预见性护理干预模式
The elderly
Severe sepsis
Acute physiology and chronic health scale II
Predictive nursing intervention model
