Effects of detail nursing in septic shock patients

Abstract

Objective To explore the effects of detail nursing in septic shock patients. Methods From January 2017 to June 2018, we selected 70 septic shock patients at West China Hospital of Sichuan University by convenience sampling. All patients were divided into control group (n=35) and observation group (n=35) with the method of random number table. Control group carried out routine nursing. On the basis of that in control group, observation group implemented detail nursing for two weeks. We compared the clinical effects, hemodynamics, health condition and the score of Glasgow coma scale (GCS) of patients between two groups before and after intervention. Results The effective rate of treatment of septic shock patients in observation group was 88.57% higher than that (65.71%) in control group with a statistical difference (P<0.05) . The hospitalization time, time using ventilator, time of consciousness recovery, disappearance time of symptoms and signs of observation group were shorter than those of control group; the serum C-reactive protein of observation group was lower than that of control group; the differences were all statistical (P<0.01) . After intervention, the cardiac index, mean arterial pressure, venous oxygen saturation of patients in observation group were higher than those in control group; the heart rate of patients in observation group was lower than that in control group; the differences were all statistical (P<0.05) . After intervention, the score of health condition of patients in observation group was lower than that in control group; the score of GCS of patients was higher than that in control group; the differences were all statistical (P<0.05) . Conclusions Detail nursing for septic shock patients can improve the quality of life of patients and has a little influence on hemodynamics which is worthy of clinical generalization and application. Key words: Nursing care; Shock, septic; Hemodynamics; Recovery