集束化干预方案在养阴清热法治疗肺部重症感染中的应用  

Application of Cluster Intervention Program in Treatment of Severe Pulmonary Infection by Nourishing Yin and Clearing Heat Method

作　　者：江雪[1] 蒲蓉[2] JIANG Xue;PU Rong(Infectious Disease Center, West China Hospital of Sichuan University （ Chengdu Sichuan 610041, China;Department of Respiratory Medicine, the Affiliated Hospital of Chengdu University of Tra- ditional Chinese Medicine （ Sichuan Chengdu 610075, China)

机构地区：[1]四川大学华西医院感染性疾病中心,四川成都610041 [2]成都中医药大学附属医院呼吸内科,四川成都610075

出　　处：《四川中医》2018年第6期211-214,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察集束化干预方案在养阴清热法治疗肺部重症感染中的应用效果。方法:选择100例肺部重症感染患者,随机分成2组,对照组采用常规的护理,研究组接受集束化干预方案。对2组患者干预前后的治疗效果、肺功能、自我效能及护理满意度进行比较。结果:干预后,研究组总有效率优于对照组(96.00%/88.00%),但差异无统计学意义(χ~2=4.084,P=0.043);出院前,研究组FEV1为(2.39±0.07)V/L、FEV1/FVC为(60.47±5.02)%,均显著高于对照组,差异有统计学意义(t=4.358,P=0.025;t=5.815,P=0.005);干预后,研究组自我效能量表总分为(129.35±10.98)分、自护技能得分为(30.70±4.55)分、自护责任感得分为(22.92±2.95)分、自我概念得分为(26.69±2.92)分、健康知识得到为(52.89±4.01)分,均显著高于对照组,差异有统计学意义(t=7.032,P=0.000;t=5.190,P=0.009;t=6.230,P=0.000;t=6.654,P=0.000;t=4.893,P=0.016)。结论:集束化干预方案有助于提高重症肺部感染患者的治疗效果,改善患者自我效能,提高患者满意度,值得推广和应用。Objective： To describe the application of bundles of care intervention in nourishing Yin and clearing heat method of patients with severe pneumonia. Methods： Totally 100patients with severe pneumonia were chosen and randomly divided into two groups. The patients in the controlled group accepted the routine nursing, while the patients in the experimental group accept- ed the bundles of care intervention. The effects of treatment, lung function, self-efficacy and nursing satisfaction of patients be- fore and after the intervention were compared between the two groups. Results： After the intervention, the total effective rate of the experimental group was better than that of the controlled group （96. 00%/88.00% ）, but the difference was not statistically significant （ X2 = 4. 084, P = 0. 043 ） ; the FEV1 was （2. 39 ±0.07） V/L, FEV1/FVC was （60. 47 ±5.02 ） %, the experimental group were significantly higher than the controlled group, the difference was statistically significant （ t = 4. 358, P = 0. 025 ; t = 5.815, P = 0. 005）. After intervention, the scores of self-efficacy scale were （129. 35 ± 10.98 ）, the self-care skill score was （30. 70±4. 55）, the self-care responsibility score was （22. 92 ±2. 95 ）, the self-concept score was （26. 69 ±2. 92 ）, health knowledge was （52. 89±4.01 ） points, were significantly higher than the controlled group, the difference was statistically signifi- cant （t=7.032, P=0.000; t=5. 190, P=0.009; t=6.230, P=0.000; t=6.654, P=0.000; t=4.893, P=0.016）. Conclu- sion： Bundles of care intervention can improve the treatment of patients with severe pulmonary infection, can improve the pa- tients＇ self-efficacy, can improve patients＇ satisfaction, worthy of promotion and application.

关 键 词：养阴清热 重症肺部感染 集束化干预 

分 类 号：R563.1[医药卫生—呼吸系统]