Research on hierarchical nursing in patients with infectious shock in the ICU
分层次护理在ICU感染性休克患者中的研究

摘要

目的 将分层次护理用于ICU感染性休克患者中，对其应用价值进行探究。方法 选取2023年7月-2025年7月本院ICU收治的94例感染性休克患者，随机分组，对照组47例行常规护理，观察组47例行分层次护理，对两组干预结果进行比较。结果 干预前，两组复苏指标比较，不具显著差异（P>0.05），干预后，观察组HR水平更低，SvO2、MAP水平更高（P<0.05）；两组休克症状缓解时间、ICU住院时间比较，观察组更短（P<0.05）；干预前，两组APACHEⅡ评分、CRP水平比较，不具显著差异（P>0.05），干预后，观察组该评分及指标水平更低（P<0.05）。结论 对ICU收治的感染性休克患者来说，应用分层次护理可改善患者复苏指标，促进休克症状快速缓解，缩短ICU住院时间，减轻病情严重程度，改善预后，具有较高应用价值。

Abstract

Objective To apply hierarchical nursing in patients with septic shock in the ICU and explore its application value.
Methods 94 patients with septic shock admitted to the ICU of our hospital from July 2023 to July 2025 were randomly divided into two groups. The control group (47 patients) received routine care, while the observation group (47 patients) received hierarchical care. The intervention results of the two groups were compared.
Results Before the intervention, there was no significant difference in the resuscitation indicators between the two groups (P > 0.05). After the intervention, the HR level of the observation group was lower, and the SvO2, MAP levels were higher (P < 0.05); the time for shock symptoms to alleviate and the length of ICU stay were shorter in the observation group compared with the control group (P < 0.05); before the intervention, the APACHE II score and CRP levels of the two groups were not significantly different (P > 0.05). After the intervention, the score and indicators of this score in the observation group were lower (P < 0.05);
Conclusion   For patients with septic shock admitted to the ICU, applying hierarchical nursing can improve the resuscitation indicators of patients, promote the rapid relief of shock symptoms, shorten the length of ICU stay, reduce the severity of the disease, improve the prognosis, it has a high application value.