Retrospective Analysis of the Clinical Efficacy of Early Goal-Directed Therapy Combined with Meticulous Nursing Intervention in Patients with Posttraumatic Sepsis.

Autor: Yuan Z; Department of Emergency, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, China., Yang S; Department of Care Unit, Wuhan Jinyintan Hospital, Wuhan 430011, Hubei, China., Zhang C; Department of Emergency, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, China., Chen K; Department of Cardiology, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, China., Wang M; Department of Emergency, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, China., Hao S; Department of Emergency, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, China., Dong S; Department of Emergency, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, China., Yang Y; Department of Cardiology, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei, China.
Jazyk: angličtina
Zdroj: Journal of healthcare engineering [J Healthc Eng] 2021 Dec 13; Vol. 2021, pp. 6706464. Date of Electronic Publication: 2021 Dec 13 (Print Publication: 2021).
DOI: 10.1155/2021/6706464
Abstrakt: Objective: To explore the intervention effect of early goal-directed therapy (EGDT) combined with meticulous nursing on patients with posttraumatic sepsis.
Methods: The data of 50 patients with posttraumatic sepsis undergoing EGDT in the emergency department of our hospital from January 2020 to December 2020 were retrospectively analyzed. According to different nursing methods, they were divided into control group ( n  = 25) with routine nursing measures and observation group ( n  = 25) with meticulous nursing measures. The application effect of the two nursing modes was scientifically evaluated.
Results: No statistical differences in general data were found between the two groups ( P > 0.05). After 6 h of intervention, the circulatory function, oxygenation function, and renal function of both groups were better than those before intervention, and central venous pressure (CVP), mean arterial pressure (MAP), blood oxygen (PaO 2 ), oxygenation index (PaO 2 /FiO 2 ), central venous oxygen saturation (ScvO 2 ), and urine volume in the observation group were notably higher than those in the control group ( P < 0.05). The heart rate (HR), serum creatinine (SCr), and blood lactic acid in the observation group were notably lower than those in the control group ( P < 0.05). The 28-day survival rate and quality of life after intervention in the observation group were notably higher than those in the control group, with obvious differences between the two groups ( P < 0.05).
Conclusion: Meticulous nursing intervention for patients with posttraumatic sepsis undergoing EGDT can effectively improve the body's functional indexes, which is superior to the routine nursing in controlling the patients' condition, improving the survival rate and quality of life after intervention, and ensuring the clinical treatment effect. Therefore, it is worthy of promotion.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2021 Zhe Yuan et al.)
Databáze: MEDLINE
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