Sayed, N., Shawer, O., Abdel-Aziz, M. (2020). Assessment the Risk Factors of Patients with Septic Shock in the Intensive Care Unit. Assiut Scientific Nursing Journal, 8(20.0), 73-86. doi: 10.21608/asnj.2020.88483
Nadia Adel Sayed; Olfat Abd El-Ghany Shawer; Mervat Anwar Abdel-Aziz. "Assessment the Risk Factors of Patients with Septic Shock in the Intensive Care Unit". Assiut Scientific Nursing Journal, 8, 20.0, 2020, 73-86. doi: 10.21608/asnj.2020.88483
Sayed, N., Shawer, O., Abdel-Aziz, M. (2020). 'Assessment the Risk Factors of Patients with Septic Shock in the Intensive Care Unit', Assiut Scientific Nursing Journal, 8(20.0), pp. 73-86. doi: 10.21608/asnj.2020.88483
Sayed, N., Shawer, O., Abdel-Aziz, M. Assessment the Risk Factors of Patients with Septic Shock in the Intensive Care Unit. Assiut Scientific Nursing Journal, 2020; 8(20.0): 73-86. doi: 10.21608/asnj.2020.88483
Assessment the Risk Factors of Patients with Septic Shock in the Intensive Care Unit
1Specialist nursing, Faculty of Nursing, Assiut University, Assiut, Egypt.
2Assistant Professor of Critical & Emergency Care Nursing, Faculty of Nursing, Assiut University, Egypt.
Abstract
Background: Sepsis is considered to induce immune suppression, leading to increased susceptibility to secondary infections with associated late mortality. Aim: To assess the risk factors of patients with septic shock in the intensive care unit. Study design: a descriptive research design was utilized in this study. Setting: The study was conducted in the general intensive care unit and trauma intensive care unit at Assuit University Hospital. Sample: A purposive 60 patients with septic shock patients. Tools: two tools used for data collection, tool (1), Patient assessment sheet, and tool (2), risk factors assessment sheet. Results: The main risk factors were dysfunction of one or more of the major body systems, tracheostomy (65.0%), diabetes mellitus (65.0%) and respiratory disease, in addition, more than half of them stay more than 20 days in the ICU and half of them suffered from respiratory failure as a complication of septic shock. Conclusion: major factors that were associated with in-hospital mortality among ICU patients with severe sepsis or septic shock were multi-organ failure and DM which despite treatment with early resuscitation. Recommendation: Applied Nursing guidelines and standard precautions infection control of patients with septic shock at the onset of intensive care unit admission.