摘要
目的 探讨全程优质护理干预在感染科重症脓毒症患者中的应用效果，分析其对患者预后指标及护理满意度的影响。方法 选取2020年3月-2025年3月在本院感染科收治的80例重症脓毒症患者为研究对象，采用随机数字表法分为两组，对照组实施感染科常规护理，观察组在对照组的基础上实施全程优质护理干预。比较两组预后相关指标、护理满意度及并发症发生率。结果 与对照组相比，观察组在机械通气时间、ICU住院时间两项指标上均呈现缩短趋势，同时28天死亡率低于对照组；相较于对照组，观察组的护理满意度表现更高；与对照组相比，观察组总并发症发生率更低（P＜0.05）。结论 对感染科重症脓毒症患者实施全程优质护理干预，可有效缩短患者ICU住院及机械通气时间，降低28d病死率，改善预后效果，同时提升护理满意度，具有较高的临床推广价值。
关键词： 全程优质护理；感染科；重症脓毒症；预后；护理满意度
Abstract
Objective To explore the application effect of high-quality nursing intervention throughout the entire process in patients with severe sepsis in the infectious disease department, and analyze its impact on patient prognosis indicators and nursing satisfaction. Methods 80 patients with severe sepsis admitted to the Infectious Diseases Department of our hospital from March 2020 to March 2025 were selected as the research subjects. They were randomly divided into two groups using a random number table method. The control group received routine nursing care in the Infectious Diseases Department, while the observation group received high-quality nursing intervention throughout the entire process on the basis of the control group. Compare two groups of prognostic indicators, nursing satisfaction, and incidence of complications. Results Compared with the control group, the observation group showed a decreasing trend in both mechanical ventilation time and ICU hospitalization time, and the 28 day mortality rate was lower than that of the control group; Compared to the control group, the observation group showed higher satisfaction with nursing care; Compared with the control group, the observation group had a lower overall incidence of complications (P<0.05). Conclusion Implementing high-quality nursing interventions throughout the entire process for patients with severe sepsis in the infectious disease department can effectively shorten their ICU stay and mechanical ventilation time, reduce 28 day mortality rate, improve prognosis, and enhance nursing satisfaction. It has high clinical promotion value.
Key words： Full process high-quality care; Infectious disease department; Severe sepsis; Prognosis; Nursing satisfaction
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