临床护理路径对重症肺炎急救护理患者肺功能的影响  

Effect of clinical nursing path on lung function in patients with severe pneumonia

作　　者：高秀梅[1] 史家欣[2] 刘青[1] 徐艳[3] Gao Xiumei;Shi Jiaxin;Liu Qing;Xu Yan(Emergency Department,the First People′s Hospital of Lianyungang City,Jiangsu Province,Lianyungang 222000,China;Respiratory Medicine,the First People′s Hospital of Lianyungang City,Lianyungang 222000,China;Nursing Department,the First People′s Hospital of Lianyungang City,Lianyungang 222000,China)

机构地区：[1]江苏省连云港市第一人民医院急诊科,222000 [2]江苏省连云港市第一人民医院呼吸内科,222000 [3]江苏省连云港市第一人民医院护理部,222000

出　　处：《中国实用护理杂志》2020年第21期1667-1671,共5页Chinese Journal of Practical Nursing

基　　金：江苏省卫计委面上科研课题(H201558)。

摘　　要：目的:探讨临床护理路径在重症肺炎急救护理中的护理效果及对肺功能的影响。方法:选择我院2017年6月至2019年7月重症肺炎患者90例作为研究对象,采用随机数字表法分为对照组和观察组各45例。对照组给予常规护理,观察组在对照组基础上联合临床护理路径,2组均进行1个月护理,比较2组症状改善时间、肺功能水平及护理满意度。结果:观察组患者护理后1个月憋喘改善时间、退热改善时间、肺部啰音改善时间分别为(3.45 ± 1.06)、(3.48 ± 1.08)、(4.31 ± 0.49) d,均短于对照组的(7.01 ± 1.42)、(4.56 ± 1.32)、(6.62 ± 0.79) d,差异有统计学意义( t值为9.642、7.375、6.189, P<0.05);护理后1个月观察组最大自主分钟通气量(MVV)、肺活量(VC)及1 s用力呼气容积(FEV1)水平均高于护理前( P<0.05);护理后1个月观察组MVV(71.42 ± 18.75) L,VC(72.41 ± 17.74)%和FEV 1(67.36 ± 18.48) L,均高于对照组的(62.38 ± 16.69) L,(60.18 ± 15.69)%和(59.15 ± 17.13) L,差异有统计学意义( t值为6.393、5.544、7.491, P<0.05);观察组护理后护理方法、护理内容、护理形式、护理服务态度及护理效果满意度为97.78%(44/45)、95.56%(43/45)、97.78%(44/45)、93.33%(42/45)、95.56%(43/45),均高于对照组的80.00%(36/45)、90.48%(38/45)、82.22%(37/45)、77.78%(35/45)、80.00%(36/45),差异有统计学意义( χ2值为5.412~9.581, P<0.05)。 结论:将临床护理路径用于重症肺炎患者急救护理中效果理想,能缩短症状消失时间,提高患者肺功能水平及护理满意度,值得推广应用。Objective To explore the nursing effect of clinical nursing pathway in emergency care of severe pneumonia and its effect on lung function.Methods A total of 90 patients with severe pneumonia in Lianyungang First People′s Hospital of Jiangsu Province from June 2017 to July 2019 were selected as subjects.The randomized patients were divided into control group(n=45 cases)and observation group(n=45 cases).The control group received routine nursing.The observation group was combined with the clinical nursing pathway on the basis of the control group.Both groups were treated for 1 month.The symptom improvement time,lung function level and nursing satisfaction were compared.Results The improvement time of wheezing(3.45±1.06)d,the improvement time of antipyretic fever(3.48±1.08)d,and the improvement time of lung rales(4.31±0.49)d in the observation group were shorter than those in the control group[(7.01±1.42)d,(4.56±1.32)d,(6.62±0.79)d](t value was 9.642,7.375,6.189,P<0.05);maximum voluntary minute ventilation(MVV)of the observation group in 1 month after nursing,Vital capacity(VC)and 1s forced expiratory volume(FEV1)levels were higher than before nursing(P<0.05);MVV(71.42±18.75)L,VC(72.41±17.74)%and FEV1 were observed in the observation group 1 month after nursing(67.36±18.48)L,all higher than(62.38±16.69)L,(60.18±15.69)%and(59.15±17.13)L of the control group(t value was 6.393,5.544,7.491,P<0.05);observation group after-care,nursing method,content,form of nursing,nursing service attitude,and nursing effect satisfaction were 97.78%(44/45),95.56%(43/45),97.78%(44/45),93.33%(42/45),95.56%(43/45),which were higher than 80.00%(36/45),90.48%(38/45),82.22%(37/45),77.78%(35/45),80.00%of the control group(36/45),with statistically significance(χ2 value was 5.412-9.581,P<0.05).Conclusions The clinical nursing pathway is effective for emergency nursing of patients with severe pneumonia.It can shorten the time of symptom disappearance,improve the lung function level and satisfaction of nursing,and it is worthy of po

关 键 词：临床护理路径 重症肺炎 急救护理 肺功能 

分 类 号：R473.5[医药卫生—护理学]