Journal of Modern Nursing MedicineJPCNS

Objective To analyze the value of ECMO combined with CRRT in the treatment of severe myocarditis complicated with respiratory failure. Methods The patients (n=68) with severe myocarditis combined with respiratory failure were randomly assigned from September 2021 to August 2023. There were 34 patients in the experiment and 34 patients in the control group, the former received comprehensive nursing during ECMO and CRRT treatment, and the latter received routine nursing. Complications and other indicators were compared. Results Regarding the quality of nursing care, the experimental group achieved (98.53±1.01) points, while the control group only achieved (89.34±1.95) points. Compared with the experimental group, the quality of nursing care was better (P<0.05). Complications: The incidence of the experimental group was as low as 2.94%, while that of the control group was 20.59%, and the incidence of the experimental group was lower than that of the control group (P<0.05). The total response rate and satisfaction rate of the experimental group were higher than those of the control group (P<0.05). Left ventricular ejection fraction and cardiac output: At the end of intervention, the data in experimental group were higher than that in control group (P<0.05). Conclusion With comprehensive nursing during ECMO and CTTR treatment of severe myocarditis combined with respiratory failure, the quality of nursing is better, the incidence of complications is lower, the satisfaction is higher, the nursing effect is more obvious, and the cardiac function is improved more rapidly.

Respiratory failure; Comprehensive nursing; Severe myocarditis; ECMO