高原性肺水肿患者应用针对性护理模式的价值  

Efficacy of Targeted Nursing Mode in Patients with High Altitude Pulmonary Edema

作　　者：汤一鸣 陈瑜[1] 陆一鸣[1] 章学美 尹姜黎 TANG Yiming;CHEN Yu;LU Yiming;ZHANG Xuemei;YIN Jiangli(Dept.of Emergency,Ruijin Hospital(North)School of Medicine,Shanghai Jiaotong University,Shanghai 201801;Dept.of Nursing,People’s Hospital of Shangri-La,Shangri-La Yunnan 674400,China)

机构地区：[1]上海交通大学医学院附属瑞金医院北部院区急诊科,上海201801 [2]云南省迪庆香格里拉人民医院护理部,云南香格里拉674400

出　　处：《昆明医科大学学报》2022年第4期158-162,共5页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81871549)。

摘　　要：目的研究高原性肺水肿患者应用针对性的护理模式的效果。方法将2019年6~12月云南省迪庆香格里拉人民医院急诊留观室收治的100例急性高原性肺水肿患者作为研究对象,根据入院次序分成2个组:对照组(50例)和研究组(50例)。对照组患者采取常规护理干预措施,研究组实施针对性的护理模式。对比2者患者的护理满意度、症状改善时间,通过SAS与SDS量表对他们的心理状态进行评价。结果实施护理干预措施之后,研究组患者的满意度为97%,高于对照组患者的满意率74%,差异有统计学意义(P<0.05)。采取护理干预措施之后,研究组与对照组患者的SAS评分分别为(43.64±2.45)分、(51.02±2.67)分,差异有统计学意义(P<0.05);2组的SDS评分分别为(43.48±1.82)分、(51.90±1.88)分,差异有统计学意义(P<0.05);研究组患者的症状改善时间少于对照组,差异有统计学意义(P<0.05)。结论高原地区医院应用针对性护理模式能够减轻高原性肺水肿患者的负面情绪,缩短临床症状的改善时间,提升患者对护理工作的满意度。Objective To study the efficacy of targeted model of nursing care for patients with high altitude pulmonary edema.Method A total of 100 patients with acute high altitude pulmonary edema admitted to the emergency department of Shangri-La People’s Hospital,Diqing,Yunnan Province from June 2019 to December2019 were selected as the study subjects.According to the order of admission,they were divided into two groups:control group(50 cases)and study group(50 cases).The control group received routine nursing intervention measures,the study group received targeted nursing mode.The nursing satisfaction and symptom improvement time of the two groups were compared,and their psychological status was evaluated by SAS and SDS scales.Result The satisfaction rate of patients in the study group was 97%,which was significantly higher than the satisfaction rate of patients in the control group of 74%(P<0.05).The SAS score of the study group and the control group was(43.64±2.45)points and(51.02±2.67)points,respectively,with was statistically significant difference(P<0.05);SDS scores of the two groups were(43.48±1.82)points and(51.90±1.88)points,respectively,with statistical significance(P<0.05).The symptom improvement time of the study group was shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of the targeted nursing care model in hospitals in high altitude region was able to reduce the negative emotions of patients with pulmonary edema,shorten the improvement time of clinical symptoms,and significantly improve patients’s atisfaction.

关 键 词：针对性护理 高原性肺水肿 价值 

分 类 号：R473.5[医药卫生—护理学]