【摘要】 目的:观察在围生期应用动态全身炎症反应综合征(SIRS)评分指导护理干预的可行性。方法:依据实证护理学原理,在检索相关资料基础上回顾性分析180例危重产妇围生期护理资料(Ⅰ组),确定危重病产妇围生期护理要素;前瞻性应用动态SIRS评分指导180例(Ⅱ组)危重病产妇的护理干预,对比分析入院4小时(T1)、24小时(T2)、72小时(T3)和7天时(T4)的SIRS评分值、出院确诊的并发症与住院天数。结果:Ⅰ组回顾性分析结果显示针对性的健康教育、心理护理及治疗配合防治中低氧血症、使用静脉留置针、胃肠功能维护与肢体功能锻炼等为需要改进的护理要素。以动态SIRS评分指导相关护理要素的临床护理操作结果显示,Ⅱ组产妇各时间点SIRS评分值较I组均显著降低(P<0·05或P<0·01),产妇单脏器功能障碍、多脏器功能障碍综合征确诊率、围生儿预后不良率明显减少(P<0·01),产妇住院天数也显著减少(P<0·01)。结论:围生期动态SIRS评分指导围生期危重病产妇护理要素的操作,有助于提高护理干预的质量。更多还原

【Abstract】 Objective:To observe the feasibility of using Dynamic Systematic Inflammation Response Syndrome (DSIRS) Grade to guiding nursing care at peri-natal stage.Methods:According to excess syndrome in nursing theory,a retrospective analysis was conducted on the clinical data collected from 180 serious cases in peri-natal period (Group A).After the essential factors for peri-natal nursing care were determined,SIRS grading was prospectively applied to guide nursing care for 180 cases of women.A comparison was made between the two groups in DSIRS grades,complications and the length of stay at hospital.Results:The retrospective analysis in the group A shown that the following essential factors needed to be modified:health education of special interest,psychological nursing,prevention and treatment of hypoxemia,usage of intravenous needles,maintenance of gastroenteric function and training of limb functions.Under the guidance of DSIRS in nursing acts,it was showed that DSIRS scores in the Group B at the different time points were greatly decreased than in the Group A (P<0.05,or P<0.01); the incidence of single or multiple organ dysfunction syndrome of the women and poor prognosis of the new perinatal were remarkably reduced (P<0.01). Conclusions:Application of DSIRS to guiding nursing care acts for parturients on serious condition would beneficial to improvement of nursing quality.更多还原