"3S2E"护理管理模式在ICU重症肺炎患者中的应用  

Effects of"3S2E"nursing management model in patients with severe pneumonia in ICU

作　　者：侯倩[1] 王俊霞[1] 牛杜娟 张耀丹[1] Hou Qian;Wang Junxia;Niu Dujuan;Zhang Yaodan(Department of Respiratory Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院呼吸内科,郑州450052

出　　处：《中华现代护理杂志》2020年第3期377-382,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨"3S2E"护理管理模式在重症肺炎患者中的应用效果。方法采用便利抽样法,选取郑州大学第一附属医院2017年2月—2019年2月ICU收治的168例重症肺炎患者为研究对象,根据入院顺序编号,单号为观察组(n=84),双号为对照组(n=84)。对照组患者给予ICU常规护理方案干预,观察组患者在ICU常规护理基础上实行"3S2E"护理管理模式。比较两组患者干预前后呼吸功能、生命体征相关指标,焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠指数量表(PSQI)得分,机械通气时间、住院时间。结果干预后,观察组每分钟通气量、呼吸频率、浅快呼吸指数、氧合指数、平均动脉压、中心动脉压和心率均低于对照组,两组比较差异有统计学意义(P<0.05);观察组SAS、SDS、PSQI得分均低于对照组,两组比较差异有统计学意义(P<0.05);观察组机械通气时间、住院时间均短于对照组(P<0.05),两组比较差异有统计学意义。结论重症肺炎患者采用"3S2E"护理管理模式干预,可有效改善患者呼吸功能,减轻患者焦虑、抑郁情绪,改善睡眠质量。Objective To explore the effects of"3S2E"nursing management model in patients with severe pneumonia.Methods Totally 168 patients with severe pneumonia enrolled in the ICU of the First Affiliated Hospital of Zhengzhou University from February 2017 to February 2019 were selected by convenient sampling,and numbered according to the order of admission.Patients with odd numbers were divided into the observation group(n=84),while patients with even numbers were divided into the control group(n=84).Patients in the control group received interventions based on the routine nursing protocol for the ICU,while patients in the observation group received"3S2E"nursing model on the basis of routine nursing.Changes in respiratory function and vital signs,Self-Anxiety Scale(SAS),Self-Depression Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI)scores,mechanical ventilation time,length of hospital stay were compared between the two groups before and after the intervention.Results After the intervention,the ventilatory capacity per minute,respiratory rate,rapid shallow breathing index(RSBI),oxygenation index,mean arterial pressure,central arterial pressure and heart rate of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The SAS,SDS and PSQI scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The mechanical ventilation time and length of hospital stay in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).Conclusions The intervention of"3S2E"nursing management model in patients with severe pneumonia can effectively improve the patient's respiratory function,reduce their anxiety and depression,improve their sleep quality.

关 键 词：重症监护 肺炎 焦虑 抑郁 睡眠 护理管理 

分 类 号：R473.5[医药卫生—护理学]