预见性护理在新型冠状病毒肺炎患者住院中的应用效果分析  

Analysis of the effects of predictive nursing in hospitalization of patientswith COVID-19

作　　者：左红[1] 李卉[1] 李白非[1] 郑莉 Zuo Hong;Li Hui;Li Baifei;Zheng Li(Department of Nephrology,The First Affiliated Hospital of Chongqing Medical University;Department of Thyroid and Breast Surgery,the First Hospital of Wuhan)

机构地区：[1]重庆医科大学附属第一医院肾脏内科,重庆400016 [2]武汉市第一医院甲乳外科,武汉430022

出　　处：《重庆医科大学学报》2020年第11期1641-1645,共5页Journal of Chongqing Medical University

基　　金：重庆市卫生适宜技术推广资助项目;血液净化治疗专科技能培训及推广资助项目(编号:2017jstg22)。

摘　　要：目的:探讨预见性护理在新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)患者住院期间护理管理中的临床应用效果。方法:采用回顾性研究,收集患者的一般人口学资料及临床特征数据;驰援武汉市第一医院的重庆医科大学附属第一医院医疗队对2020年2月14日至3月17日收治的83例确诊COVID-19患者(其中轻型2例、重型73例、危重型8例)实施预见性护理干预措施。结果:截至3月17日,治愈出院74例,重型转轻型12例,转科2例,转院3例,病死3例;另入院即脑卒中死亡1例。医护人员对83例患者的临床治疗数据(使用logistic有序回归分析)研究发现,年龄或许是COVID-19病情发展推进的因素(B=-0.09,P<0.05)。本队共收治8例危重型患者,平均年龄>73岁;患者中有冠心病史的治疗风险或更大(B=-2.39,P<0.05);吸烟史或对疾病恢复产生不良影响(B=1.52,P<0.05);白蛋白(albumin,ALB)、血红蛋白(hemoglobin,HGB)指标异常可加速疾病进程(B=-0.40、-0.05;P<0.00、0.00)。结论:遵循COVID-19临床护理指南,预见性地制订适时的护理干预方案,提出并严格执行针对COVID-19的医护措施,在重型、危重型患者临床治疗中效果显著,具有十分积极的效应,值得临床关注。Objective:To explore the clinical application effects of predictive nursing in nursing management of patients with new type of coronavirus pneumonia during hospitalization.Methods:A retrospective study was used to collect the demographic and clinical characteristics of the patients.The medical team of our hospital supporting the First Hospital of Wuhan City implemented predictive nursing interventions on 83 confirmed patients with new type of coronavirus pneumonia,2 of whom were mild,73 were severe,and 8 were critical ill,admitted from February 14 to March 17,2020.Results:As of March 17,74 patients have been discharged,12 cases converted from severe to mild,2 cases were transferred to other department,3 cases were transferred to other hospital,3 cases died.One patient died of stroke at admission.The medical staffs in the clinical treatment data of 83 patients(using logistic ordered regression analysis)found that:age may be the factor that promotes the development of the new type of coronavirus pneumonia(B=-0.09,P<0.05),for a total of 8 critically ill patients with an average age of>73 years;patients with a history of coronary heart disease may be at a greater risk during treatment(B=-2.39,P<0.05);smoking history may adverse the recovery progression(B=1.52,P<0.05);the abnormal albumin(ALB)and hemoglobin(HGB)indicators may speed up the disease process(B=-0.40,-0.05;P<0.00,0.00).Conclusion:Follow the guidelines for clinical nursing of new type of coronavirus pneumonia,foreseeably formulate timely treatment and nursing intervention protocols,propose and strictly implement medical care measures for the new type of coronavirus pneumonia have obvious effects in clinical treatment of severe and critically ill patients.The positive effects deserve clinical attention.

关 键 词：新型冠状病毒肺炎 预见性护理 应用 效果 

分 类 号：R473.5[医药卫生—护理学]