分层级管理在ICU重症肺炎患者床边坐轮椅中的应用效果  

Application effect of hierarchical management in bedside wheelchair for patients with severe pneumonia in ICU

作　　者：徐振虎[1] 毛秀莲[2] 李世鹏[3] 曾唯波 陈文婷[1] 谢佳欣 XU Zhen-hu;MAO Xiu-lian;LI Shi-peng;ZENG Wei-bo;CHEN Wen-ting;XIE Jia-xin(Comprehensive ICU,Guangdong Agricultural Reclamation Center Hospital,Guangdong Province,Zhanjiang 524002,China;Department of Nursing,Guangdong Agricultural Reclamation Center Hospital,Guangdong Province,Zhanjiang 524002,China;Operating Room,.Guangdong Agricultural Reclamation Center Hospital,Guangdong Province,Zhanjiang 524002,China)

机构地区：[1]广东省农垦中心医院综合ICU,广东湛江524002 [2]广东省农垦中心医院护理部,广东湛江524002 [3]广东省农垦中心医院手术室,广东湛江524002

出　　处：《中国当代医药》2020年第8期197-199,209,共4页China Modern Medicine

基　　金：广东省湛江市非资助科技攻关项目(2017B01179)。

摘　　要：目的探讨分层级管理在ICU重症肺炎患者床边坐轮椅中的应用效果。方法选取2017年6月~2018年5月我院收治的82例重症肺炎患者,根据收治顺序将单数收治为实验组,双数为对照组,每组各41例。实验组采用分层级划分标准;对照组采用护士自主评估其活动能力。观察两组坐轮椅成功率、早期活动效果、负面情绪变化及护理满意度情况。结果实验组坐轮椅成功率高于对照组,差异有统计学意义(χ~2=5.51,P<0.05)。实验组转入时Barthel指数、生存质量测量表(SAQ)-活动受限评分与对照组比较,差异无统计学意义(P>0.05);实验组转出时Barthel指数、SAQ-活动受限评分均高于对照组,差异有统计学意义(P<0.05)。实验组转入时焦虑自评量表(SAS)、抑郁自评量表(SDS)评分与对照组比较,差异无统计学意义(P>0.05);实验组转出时SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。实验组护理总满意度高于对照组,差异有统计学意义(χ~2=3.90,P<0.05)。结论床边坐轮椅等早期活动的执行,对ICU重症肺炎患者的焦虑、抑郁情绪改善效果良好,且改善患者的早期活动功能,提升了护理满意度,值得临床推广。Objective To explore the application effect of hierarchical management in bedside wheelchair for severe pneumonia patients in ICU.Methods A total of 82 patients with severe pneumonia in our hospital from June 2017 to May 2018 were selected.According to the order of admission,the odd number of patients with severe pneumonia were treated as the experimental group,and the double number were the control group,41 cases in each group.The experimental group was included in the study after using hierarchical classification criteria,the control group was included in the study after using nurses to evaluate their activity ability independently.The success rate of wheelchair,the effect of early exercise,the change of negative emotions and nursing satisfaction were observed in the two groups.Results The success rate of wheelchair in the experimental group was higher than that in the control group.The difference was statistically significant(χ2=5.51,P<0.05).Barthel index score,quality of life scale(SAQ)-activity limitation score were compared with the control group at the time of transfer,there was no significant difference(P>0.05).The Barthel index score and the SAQ-activity limitation score of the experimental group were higher than those of the control group at exit,and the differences were statistically significant(P<0.05).The self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score of the experimental group compared with those of the control group at the time of transfer,there was no significant difference(P>0.05).The SAS score and SDS score of the experimental group at exit were lower than those of the control group and the differences were statistically significant(P<0.05).The total satisfaction of nursing in the experimental group was higher than that in the control group,the difference was statistically significant(χ2=3.90,P<0.05).Conclusion The implementation of early activity programs such as bedside wheelchair can decrease the anxiety and depression of patients with severe pneumonia in ICU,

关 键 词：床边坐轮椅 重症加强护理病房 重症肺炎 早期活动 护理满意度 

分 类 号：R473.5[医药卫生—护理学]