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| Influence of traditional Chinese medicine comprehensive nursing intervention on patients with severe sepsis and gastrointestinal dysfunction |
| OUYANG Honglian LIAN Qiaolan FENG Weiyan DENG Linna |
| ICU, Guangdong Chinese Medicine Hospital Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangdong Province, Guangzhou 510120, China |
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Abstract Objective To investigate the effect of traditional Chinese medicine comprehensive nursing on severe sepsis patients with gastrointestinal dysfunction. Methods From November 2016 to August 2017, in ICU, Second Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, 80 severe sepsis patients with gastrointestinal dysfunction were selected, and they were divided into convention group and comprehensive group according to the random number table method, with 40 cases in each group. Conventional nursing was applied to the patients in the convention group, and the comprehensive nursing was applied to the comprehensive group on the basis of conventional nursing. The effect and influence of clinical intervention on patients of the two groups were compared. Results There was no statistically significant difference in APACHE-Ⅱ scores of two groups on 1st, 3rd day (P > 0.05), and the APACHE-Ⅱ scores decreased significantly with the prolongation of treatment time, on 7th day APACHE-Ⅱ scores of comprehensive group was significantly better than that of the convention group, and the difference was statistically significant (P < 0.05). There was no statistically significant difference in the comfort score and sleep quality index of the two groups before intervention (P > 0.05), and after intervention, the comfort score and sleep quality index in the comprehensive group were better than those in the convention group, and the differences were statistically significant (P < 0.05). There was no statistically significant difference in pH and abdominal pressure of two groups before intervention (P > 0.05), after intervention, the pH and abdominal pressure of gastrointestinal mucosa in the comprehensive group were better than those in the convention group, the differences were statistically significant (P < 0.05). The hospitalization time, total hospitalization time and hospitalization expenses of the patients in the comprehensive group were less than those in the convention group, the differences were statistically significant (P < 0.05). After intervention, the total effective rate of gastrointestinal function improvement in the comprehensive group were higher than that in the convention group, the difference was statistically significant (P < 0.05). Conclusion After the intervention of traditional Chinese medicine, the clinical effect of patients significantly is improved, and the satisfaction degree of patients is improved. the intra-abdominal pressure, gastric acid pH and gastrointestinal function returnes to normal level, it is helpful to reduce their economic burden, and it is worthy of clinical promotion and application.
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