预防性干预方案在脓毒血症卧床患者中的应用及压力性损伤的预防效果

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Application of preventive interventionprogram inpatientswithsepsis in bedandprevention effectof stres injury Zhang Yili，Wang Wei，Cao Chengxiu.“Shanghai Putuo District People's Hospital Emergency Observation， Shanghai ，China

【Abstract】 ObjectiveTo investigate the application of preventive intervention scheme in patients with sepsis in bedand the preventive effctof stress injury.MethodsTheclinical dataof 108 patients with sepsis in bed inour hospitalfrom March2021 to December2O23wereretrospectivelyanalyzed，and they weredivided into a control group（ n =56）and an observation group （n=52） according to diferent intervention schemes.The control groupreceived routine intervention，and the observation group received preventive intervention based onthe results ofLogistic regresson model.Both groupsreceived intervention fromadmission to discharge.Compare the two groups of relevant indicators.ResultsLong bedtime，local skin moisture，tightrestraint bandand malnutrition were all risk factors for stress injury in patients with sepsis in bed（OR=1.194，1.184，1.186，1.191，al P <0.05）. Thetotal incidence of stress injury intheobservationgroup （3.8%）was lower than that in the control group （16.1 % ）（ P <0.05）.After the intervention，the scores of the Hamilton Anxiety Scale （HAMA），Hamilton Depression Scale （HAMD）and Pitsburgh Sleep Quality Index Scale （PSQI） in the observation group were （7.3±1.O）， （7.5±1.0）， and（3.4±0.7），respectively.Thescores were lower than thoseof thecontrol group （12.5±2.O），（11.6±1.3），and （6.0± 0.8）（ P <0.05）.After the intervention，SpO of the observation group was （95.8±1.1） % ，higher than that of the 2 control group （93.5±1.0） % ，respiratory rate and heart rate （HR） were （21.3±1.6） and （88.97±5.7） times/min， respectively.It was lower than that of the control group （26.5±2.1） and （104.5±10.2） times/min （ P <0.05）. The total satisfaction of the observation group was 94.2% ，which was higher than 78.6% of the control group （ P <0.05）. ConclusionPreventive intervention has the efectof preventing stress injury in patients with sepsis in bed and can relieve anxiety and depression，stabilize vital signs，and improve sleepquality and nursing satisfaction.

【Key Words】Sepsis;Bedridden persons;Critical ilness；Preventive effect;Psychological state;Sleep quality

脓毒血症是机体对感染反应失调所致的一类全身炎症反应综合征和器官功能障碍性疾病。（剩余6174字）