Practice and effectiveness of process decision program chart in early fluid resuscitation target management of emergency patients with sepsis
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维普
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目的 探讨过程决策程序图法(process decision program chart,PDPC)在急诊脓毒症患者早期液体复苏管理中的实践与成效.方法 选取急诊就诊的脓毒症患者102例,将2022年7-9月未经过PDPC方法干预的49例患者设为对照组,将2022年10-12月采用PDPC方法系统干预的53例患者设为干预组,对照组患者采用常规责任制急救护理,干预组依照PDPC流程实施目标管理.比较2组患者脓毒症早期识别率、1 h液体复苏率、门-抗生素时间及医护的自我评价指标.结果 干预组患者脓毒症门-抗生素时间明显较对照组缩短,干预组患者脓毒症早期识别率、1 h液体复苏率明显较对照组提高,差异有统计学意义(P＜0.05).PDPC方法应用后医护团队的责任心、工作积极性、自信心等方面的自我评价均较应用前显著提升,差异有统计学意义(P＜0.05).结论 在急诊脓毒症患者早期液体复苏管理中应用PDPC法,可以规范脓毒症患者在急诊的液体复苏急救护理、有效提升护理急救水平,同时医护人员的思维也得到了拓展,解决问题的能力得到了提升,自我评价提高.
Objective To explore the practice and effectiveness of process decision program chart(PDPC)in early fluid resuscitation management of emergency patients with sepsis.Methods A total of102 patients with sepsis were selected for emergency treatment,and 49 patients who did not receive the intervention of PDPC method from July to September 2022 were set as the control group,and 53 patients who received the systematic intervention of PDPC method from October to December 2022 were set as the intervention group.The patients in the control group were given routine responsibility system emergency care,while the intervention group was given objective management ac-cording to the PDPC process.The early recognition rate of sepsis,1-hour fluid resuscitation rate,portal-antibiotic time,and medical self-evaluation index between 2 groupswere compared.Results The sepsis port-antibiotic time of the patients in the intervention group was significantly shorter than that in the control group,and the early recogni-tion rate of sepsis and the 1-hour fluid resuscitation rate of the patients in the intervention group were significantly higher than those in the control group,and the differences were statistically significant(P＜0.05);After the appli-cation of the PDPC method,the self-evaluation of the sense of responsibility,work enthusiasm,and self-confidence of the medical team were significantly improved compared with those before the application,and the difference was statistically significant(P＜0.05).Conclusion The application of PDPC method in the early liquid resuscitation man-agement of emergency sepsis patients can standardize the liquid resuscitation emergency care of patients with sepsis in emergency and effectively improve the level of emergency care.Meanwhile,the thinking of medical staff is ex-panded,the ability to solve problems is improved,and the self-evaluation is improved.
sepsisfluid resuscitationprocess decision program chartmanagement by objectives
维普
万方数据
