循证护理下重症监护室脓毒症患者液体复苏护理的优化研究

Objective To optimize the fluid resuscitation care plan for sepsis patients in the intensive care unit(ICU) based on evidence-based nursing, providing a scientific basis for fluid resuscitation practice in ICU sepsis patients. Methods From March 2023 to September 2024, 160 sepsis patients admitted to our ICU were selected and randomly divided into an observation group and a control group by random number table, with 80 cases in each group. The control group received routine fluid resuscitation care, while the observation group received an optimized fluid resuscitation care plan based on evidence-based nursing. Fluid resuscitation-related indexes, hemodynamic parameters, and organ function indicators were compared between the two groups of patients. Results The total amount of resuscitation fluid in the observation group was significantly less than that in the control group and the 1-hour resuscitation rate was significantly higher than that of the control group, with statistically significant differences(P<0.001). After 1 hours of resuscitation, the observation group showed better mean arterial pressure, central venous pressure, and lactate clearance rate compared to the control group, with statistically significant differences(P<0.001). After 7 days of care, the observation group had significantly lower Acute Physiology and Chronic Health Evaluation II(APACHE II) scores, serum creatinine, and total bilirubin than the control group, with statistically significant differences(P<0.001). Conclusion An evidence-based nursing fluid resuscitation plan for sepsis patients can reduce the total volume of resuscitation fluids, increase the 1-hour resuscitation achievement rate, improve hemodynamic parameters such as mean arterial pressure, and mitigate organ injury. This plan addresses the blind spots of routine care, provides a standardized evidence-based model for ICU sepsis care, and is especially suitable for patients with septic shock, with clinical promotion value.