Effect of comprehensive nursing intervention in ECMO combined with CRRT treatment for severe outbreak myocarditis
综合护理干预在ECMO联合CRRT治疗重症爆发性心肌炎中的应用效果

摘要

目的 研究对重症爆发性心肌炎患者在ECMO联合CRRT治疗中应用实施综合护理干预时所展现的实施效果与实施价值。方法 本次研究的病例数为80例，他们均来自于2022年12月-2024年12月期间我院收治护理的重症爆发性心肌炎患者，根据奇偶数随机原则将其分为对照组和观察组，分别应用常规护理干预和综合护理干预，并对两组患者的护理效果、护理满意度、生活质量评分以及心理状态评分进行评价分析。结果 经干预后观察组包括精神健康、生理功能、情感职能、生理职能、社会功能、身体疼痛、活力及总体健康在内的生活质量评分、护理总有效率和护理满意度均更高，焦虑抑郁评分更低。组间数值P＜0.05，说明存在对比意义。结论 对重症爆发性心肌炎患者在ECMO联合CRRT治疗中应用实施综合护理干预时其临床护理效果显著，能够有效改善患者的生活质量、护理满意度、护理效率，缓解患者的不良心理情绪，加快患者的临床康复进程，值得在临床上进行推广。

Abstract

Objective This study aims to evaluate the effectiveness and value of comprehensive nursing interventions in critically ill patients with fulminant myocarditis during ECMO combined with CRRT treatment.
Methods A total of 80 cases were included in this study, all of whom were critically ill patients with fulminant myocarditis admitted to our hospital between December 2022 and December 2024. These patients were randomly divided into a control group and an observation group using the odd-even randomization principle. The control group received routine nursing interventions, while the observation group received comprehensive nursing interventions. The study evaluated and analyzed the nursing outcomes, patient satisfaction, quality of life scores, and psychological state scores for both groups.
Results After the intervention, the observation group showed higher quality of life scores in mental health, physical function, emotional function, social function, physical pain, vitality, and overall health, as well as higher overall nursing effectiveness and patient satisfaction. Additionally, the anxiety and depression scores were lower in the observation group. The P-value between the two groups was less than 0.05, indicating a significant difference.
Conclusion   Comprehensive nursing interventions for critically ill patients with fulminant myocarditis during ECMO combined with CRRT treatment have shown significant clinical benefits. These interventions effectively improve patients' quality of life, nursing satisfaction, and efficiency, alleviate negative psychological states, and accelerate the clinical recovery process, making them worthy of promotion in clinical practice.