Abstract
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 (PaO2), oxygenation index (PaO2/FiO2), central venous oxygen saturation (ScvO2), 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.
Highlights
Progress has been made in the treatment of primary injuries after severe trauma, the incidence and mortality of posttraumatic sepsis have not been controlled well [1–4]
Goal-directed therapy (EGDT) can improve the condition and prognosis of patients with sepsis, and clinical nursing is a key link to ensure the continuity of treatment, with an extremely important role
This study focused on comparing the effect of Early goal-directed therapy (EGDT) combined with meticulous nursing or routine nursing on circulatory function, oxygenation function, renal function, blood lactic acid, and survival rate of patients
Summary
Progress has been made in the treatment of primary injuries after severe trauma, the incidence and mortality of posttraumatic sepsis have not been controlled well [1–4]. Goal-directed therapy (EGDT) can improve the condition and prognosis of patients with sepsis, and clinical nursing is a key link to ensure the continuity of treatment, with an extremely important role. There are few studies on monitoring the nursing effect of patients with sepsis undergoing EGDT in China, especially on monitoring the nursing effect on those with posttraumatic sepsis. This study focused on comparing the effect of EGDT combined with meticulous nursing or routine nursing on circulatory function, oxygenation function, renal function, blood lactic acid, and survival rate of patients. Fifty patients with posttraumatic sepsis undergoing EGDT in the emergency department of our hospital from January 2020 to December 2020 were selected and grouped according to different nursing
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