李雪　　余海云

[摘要] 目的 探讨一病一品护理服务模式在流行性出血热患者中的干预效果。 方法 回顾性分析我院2018年8月至2020年5月期间收治的138例流行性出血热患者各项临床资料，以护理干预模式的不同进行分组，将实施常规护理干预模式的69例患者纳入对照组，而实施一病一品护理服务模式的69例患者纳入研究组，记录两组临床指标，其中包括退热时间、多尿症状持续时间、血小板计数恢复正常时间与尿蛋白转阴时间。同时，记录两组并发症（低血压休克、脑出血与电解质紊乱）發生率、护理满意度与负性情绪。 结果 研究组的退热时间、多尿症状持续时间、血小板计数恢复正常时间与尿蛋白转阴时间均短于对照组（P<0.05）。研究组并发症发生率为8.70%，明显低于对照组的28.98%，差异有统计学意义（P<0.05）。研究组护理满意度（97.10%）明显高于对照组的82.61%，差异有统计学意义（P<0.05）。护理前，两组SDS评分较接近（P>0.05）;护理后，两组SDS评分均已下降，且研究组低于对照组，差异有统计学意义（P<0.05）。 结论 予以流行性出血热患者一病一品护理服务模式，可显著改善患者的症状、体征与负性情绪，并且有利于减少并发症的发生，显著提升护理满意度。

[关键词] 一病一品护理服务模式;流行性出血热;优质护理服务;护理流程

[中图分类号] R473          [文献标识码] B          [文章编号] 1673-9701（2021）13-0168-04

Intervention effect analysis of "one chain for one disease" nursing service on patients with epidemic hemorrhagic fever

LI Xue   YU Haiyun

The First Department of Infectious Disease， the Ninth Hospital of Nanchang， Nanchang   330002， China

[Abstract] Objective To explore the intervention effect of "one chain for one disease" nursing service in patients with epidemic hemorrhagic fever（EHF）. Methods The clinical data of 138 patients with EHF treated in our hospital from August 2018 to May 2020 were analyzed retrospectively. According to different nursing modes， 69 patients with routine nursing intervention were included in the control group， while 69 patients with "one chain for one disease" nursing service were included in the study group. The clinical indexes of the two groups were recorded， including the time of fever reduction， the duration of polyuria， the time of platelet count returning to normal and the time of urine protein turning negative. At the same time， the incidences of complications（hypotension shock， cerebral hemorrhage and electrolyte disturbance）， nursing satisfaction and negative emotions were recorded. Results The time of fever reduction， duration of polyuria， platelet count returning to normal and urine protein turning negative in the study group were shorter than those in the control group（P<0.05）. The incidences of complications in the study group were 8.70%， which were significantly lower than those in the control group（28.98%）（P<0.05）. The nursing satisfaction of the study group（97.10%） was significantly higher than that of the control group（82.61%）（P<0.05）. Before nursing， SDS scores of the two groups were similar（P>0.05）. After nursing， the SDS scores of the two groups decreased， and the study group was lower than the control group， with statistically significant difference（P<0.05）. Conclusion The nursing service of "one chain for one disease" can significantly improve the symptoms， signs and negative emotions of patients with EHF， and help to reduce the occurrence of complications， thus significantly improving nursing satisfaction.

[Key words] "One chain for one disease" nursing service; Epidemic hemorrhagic fever; High-quality nursing service; Nursing process

流行性出血热是机体感染汉坦病毒后发生的一种传染性疾病，汉坦病毒侵袭机体后可直接对全身毛细血管、小血管产生作用，在损伤血管壁的同时增加血管壁通透性，导致组织、气管水肿，并引起多脏器损害[1]。因流行性出血热病情进展迅速、死亡率高，患者需要在治疗基础上接受专业的临床护理，以改善症状并促进预后质量的提升[2]。以往实施常规护理干预模式，虽然可为患者提供指导与帮助，但护理内容过于单一，难以达到患者的期望值。一病一品护理服务模式是护理人员针对科室某种疾病制定的特色专科护理，其目的在于优化护理流程，为患者全程提供高品质的护理服务，确保患者经过专业护理后早日康复出院。……