优质干预服务对重症肺炎患者临床疗效、负性心理及住院成本的影响  

Effect of quality intervention service on clinical efficacy,negative psychology and hospitalization costs of severe pneumonia patients

作　　者：牛瑞兰[1] 刘银芳[1] 伍伟 NIU RuiLan;LIU Yinfang;WU Wei(Shangqiu First People's Hospital,Shangqiu 476100,China)

机构地区：[1]中国.河南省商丘市第一人民医院,476100 [2]河南省郑州市中心医院

出　　处：《中国健康心理学杂志》2019年第12期1808-1811,共4页China Journal of Health Psychology

基　　金：河南省科技攻关计划(编号:201703074)

摘　　要：目的:探讨优质干预服务对重症肺炎患者临床疗效、负性心理及住院成本的影响。方法:选取本院呼吸内科2013年3月-2017年3月收治的80例重症肺炎患者为研究对象,将所选对象按照随机数表法随机分为对照组和观察组各40例;两组入院后均进行重症肺炎治疗,对照组采用常规干预,观察组在对照组的基础上进行优质干预。比较两组患者临床疗效、住院成本以及患者干预前负性情绪变化。结果:①观察组总有效率为97.50%,明显高于对照组(77.50%)(χ^2=7.314,P<0.05);②干预前两组SAS、SDS评分无明显差异(P>0.05),干预后两组SAS、SDS评分均较干预前下降,观察组明显低于对照组(t=-13.589,-3.328;P<0.01);③观察组患者住院时间明显短于对照组(t=-6.899,P<0.05);观察组住院费用明显低于对照组(t=-2.135,P<0.05);④观察组满意度为95.00%,明显高于对照组(75.00%)(χ^2=6.275,P<0.05)。结论:优质干预运用于老年重症肺炎患者的治疗中,可明显提高临床治疗效果,缓解患者的负性情绪,缩短住院时间,为患者节约住院成本。Objective:To investigate the effect of quality intervention service on clinical efficacy,negative psychology and hospitalization costs of severe pneumonia patients.Methods:A total of 80 cases with severe pneumonia treated in the respiratory medicine department of our hospital from March 2013 to March 2017 were selected as the research object.The selected objects were randomly divided into the control group and the observation group with 40 cases in each group according to the random number table method.The cases in the control group was treated with routine intervention,and the cases in the observation group was optimized qualitative intervention on the basis of the control group.The clinical efficacy,the cost of hospitalization and the negative emotional changes before and after intervention were compared between the two groups.Results:①The total effective rate of the observation group was obviously higher than that of the control group(χ^2=7.314,P<0.05);②There was no significant difference about the scores of SAS and SDS between the two groups before the intervention(P>0.05).After intervention,the scores of SAS and SDS in the two groups were lower than those before the intervention,and those in the observation group were significantly lower than those in the control group(t=-13.589,-3.328;P<0.01);③The time of the observation group was significantly shorter than that of the control group(t=-6.899,P<0.05);The hospitalization cost of the observation group was significantly lower than that of the control group(t=-2.135,P<0.05);④The satisfaction of the observation group was obviously higher than that of the control group(χ^2=6.275,P<0.05).Conclusion:In the treatment of elderly patients with severe pneumonia,high quality intervention can obviously improve the effect of clinical treatment,alleviate the negative emotion of the patients,shorten the time of hospitalization and save the cost of hospitalization for the patients.

关 键 词：重症肺炎 临床疗效 负性心理 优质干预 住院成本 

分 类 号：R749.92[医药卫生—神经病学与精神病学]