摘要
目的 探讨基于皮肤温度监测的护理管理联合营养支持对重症监护室(ICU)急性皮肤衰竭(ASF)患者的护理效果。方法 选取2020年10月-2022年10月医院收治的86例ICU重症患者为研究对象,按基本资料具有可比性的原则分为观察组和对照组各43例。对照组采用常规皮肤护理,观察组采用基于皮肤温度监测的护理管理联合营养支持。对比分析两组患者干预后ASF发生率和住院时间、皮肤灌注量[皮肤花斑评分(SMS)和毛细血管再充盈时间(CRT)]、干预前后血流动力学指标(平均动脉压、心率、中心静脉压)与营养状况(转铁蛋白、白蛋白、血红蛋白)以及护理满意度。结果 护理干预后,观察组ASF发生率低于对照组,住院时间短于对照组,差异有统计学意义(P<0.05);观察组患者SMS评分低于对照组,CRT短于对照组,差异有统计学意义(P<0.05);两组患者血流动力学指标均有所改善,但观察组患者改善幅度大于对照组,差异有统计学意义(P<0.05);两组患者营养相关指标均上升,但观察组患者上升幅度大于对照组,差异有统计学意义(P<0.05);观察组患者对护理满意度高于对照组,差异有统计学意义(P<0.05)。结论 对于ICU重症患者,采用基于皮肤温度监测的护理管理联合营养支持护理,可以降低ASF发生率,缩短住院时间,改善皮肤灌注量、血流动力学指标及营养状况,提高患者护理满意度。
Objective To explore the nursing effect of nursing management based on skin temperature monitoring combined with nutritional support for patients with acute skin failure(ASF)in intensive care unit(ICU).Methods 86 cases of ICU critically ill patients admitted to the hospital from October 2020 to October 2022 were selected as the study subjects,they were divided into 43 cases each in the observation group and the control group according to the principle of comparability of basic data.The control group used conventional skin care,and the observation group used nursing management based on skin temperature monitoring combined with nutritional support.Comparative analysis of the two groups of patients after the intervention of the incidence of ASF and hospital stay,skin perfusion[skin mottling score(SMS)and capillary refill time(CRT)],before and after the intervention of the haemodynamic indexes[mean arterial pressure,heart rate,central venous pressure]with the nutritional status[transferrin,albumin,haemoglobin],and the satisfaction with nursing care.Results After nursing intervention,the incidence of ASF in the observation group was lower than that in the control group,and the length of hospital stay was shorter than that in the control group,with statistically significant differences(P<0.05);the SMS scores of the patients in the observation group were lower than that of the control group,and the CRTs were shorter than that of the control group,with statistically significant differences(P<0.05);the haemodynamic indexes of the patients in the two groups improved,but the magnitude of the improvement in the patients of the observation group was greater than that of the control group,with statistically significance(P<0.05);Nutrition-related indexes of patients in both groups have increased,but the increase of patients in the observation group is greater than that of the control group,and the difference is statistically significant(P<0.05);Satisfaction with nursing care in the observation group is higher than that of the control group,and the difference is statistically significant(P<0.05).Conclusion For ICU critically ill patients,the use of skin temperature monitoring-based nursing management combined with nutritional support nursing can reduce the incidence of ASF,shorten the length of hospital stay,improve the amount of skin perfusion,haemodynamic indexes and nutritional status,and improve the satisfaction of patient care.
作者
刘星
裴永菊
卫晓静
张付娟
刘万乐
赵敬
LIU Xing;PEI Yongju;WEI Xiaojing;ZHANG Fujuan;LIU Wanle;ZHAO Jing(Henan People's Hospital,Zhengzhou,450000,China)
出处
《护理实践与研究》
2023年第23期3601-3607,共7页
Nursing Practice and Research
基金
河南省卫生健康委员会科研项目(编号:LHGJ20210036)。
关键词
皮肤温度监测
护理管理
营养支持
重症监护室
急性皮肤衰竭
Skin temperature monitoring
Nursing management
Nutritional support
Intensive care unit
Acute skin failure
作者简介
通信作者:卫晓静,女,本科,副主任护师。
