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| The effect of focus resolution mode in patients with sepsis combined with acute renal injury |
| WANG Hui CAO Yanhui |
| Department of Intensive Care Unit, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China |
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Abstract Objective To explore the effect of focus resolution mode in patients with sepsis combined with acute renal injury. Methods A total of 90 patients with sepsis combined with acute renal injury in Department of Intensive Care Unit, the First Affiliated Hospital of Harbin Medical University from May 2015 to May 2017 were selected as the research objects and divided into the control group and the observation group by random number table, with 45 cases in each group. The control group was given routine nursing intervention, while the observation group was given focus resolution mode on the basis of control group. The clinical indicators in the two groups were compared before and after the intervention. The Pittsburgh sleep quality index (PSQI) was used to evaluate the sleep quality of patients in both groups before and after intervention. The self-designed comfort questionnaire was used to compare the comfort of patients in the two groups after intervention. Results There were no statistically significant differences between the two groups in the incidence of mechanical ventilation during hospitalization and lung injury, body temperature, leukocyte level, prothrombin time (P ＞ 0.05). The incidence of shock, lactic acid level, Charleson's basic disease weight index in the observation group were lower than those of control group; the mean arterial pressure and basal glomerular filtration rate were significantly higher than those of control group, with statistically significant differences (P ＜ 0.05). Before intervention, there were no statistically significant differences in the scores of PSQI of each item and comfort between the two groups (P ＞ 0.05); after intervention, the scores above in the two groups were all significantly lower than those of before intervention and the scores above in the observation group were significantly lower than those of control group, with statistically significant differences (P ＜ 0.05). Conclusion Focus resolution mode can effectively relieve the clinical discomfort of patients with sepsis combined with acute kidney injury, improve the sleep quality, promote the daily comfort of the patients. It plays an important role in improving the prognosis and life quality of the patients. It is worthy of promotion and application.
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