护理目标管理对机械通气中的重症肺炎患者心理状态的影响  

Effect of nursing objective management on psychological state of patients with severe pneumonia during mechanical ventilation

作　　者：李丹 高胜浩 王海播 LI Dan;GAO Shenghao;WANG Haibo(Department of Respiratory and Critical Care Medicine,Henan Provincial Key Medicine Laboratory of Nursing,Henan Provincial People's Hospital,Zhengzhou University People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院(郑州大学人民医院)呼吸重症监护病房,郑州450000

出　　处：《国际精神病学杂志》2022年第1期183-186,共4页Journal Of International Psychiatry

基　　金：河南省医学研究教育项目(编号:Wjlx2019079)。

摘　　要：目的 分析护理目标管理在重症肺炎患者机械通气治疗中的应用价值。方法 选取2019年2月~2021年2月在我院接受机械通气治疗的150例重症肺炎患者,依据通气治疗中护理管理方案的不同分为对照组(常规护理管理;75例)与观察组(护理目标管理;75例),对比两组患者的血气指标[动脉血氧饱和度(SaO_(2))、动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、并发症以及康复进程情况。结果 观察组在干预后的SaO_(2)、PaO_(2)指标明显高于对照组(P<0.05),而PaCO_(2)则显著低于对照组(P<0.05);观察组在护理后的SAS、SDS评分明显低于对照组(P<0.05);此外,经统计发现,观察组病例在护理管理过程中的并发症发生率明显低于对照组(P<0.05);且观察组病例的呼吸困难缓解时间、肺部啰音消失时间、机械通气时间以及住院时间均明显短于对照组(P<0.05)。结论 护理目标管理在重症肺炎患者的机械通气治疗中具有显著的应用价值,可促进其心理状态及血气指标的有效改善,同时降低临床的并发症发生风险。Objective To analyze the application value of nursing objective management in the treatment of severe pneumonia patients with mechanical ventilation.Methods 150 patients with severe pneumonia who received mechanical ventilation treatment in our hospital from February 2019 to February 2021 were selected and divided into control group(routine nursing management;75 cases)and observation group(nursing target management;75 cases)according to different nursing management schemes in ventilation treatment.The blood gas indexes[arterial oxygen saturation(SaO_(2)),arterial oxygen partial pressure(PaO_(2)),arterial oxygen saturation(PaO_(2))]of the two groups were compared Blood carbon dioxide partial pressure(PaCO_(2)),mental state(SAS,SDS scores),complications and rehabilitation process.Results The SaO_(2)and PaO2 indexes of the observation group after the intervention were significantly higher than those of the control group(P<0.05),while PaCO_(2)was significantly lower than that of the control group(P<0.05).The SAS and SDS scores of the observation group after nursing were significantly lower than those of the control group(P<0.05).In addition,statistics showed that the incidence of complications in the process of nursing management of the observation group was significantly lower than that of the control group(P<0.05).The relief time of dyspnea,disappearance time of pulmonary rales,mechanical ventilation time and hospitalization time of the patients in the control group were significantly shorter than those in the control group(P<0.05).Conclusion Nursing objective management has significant application value in the treatment of severe pneumonia patients with mechanical ventilation,which can promote the effective improvement of their psychological state and blood gas index,reduce the risk of clinical complications.

关 键 词：重症肺炎 机械通气 护理目标管理 

分 类 号：R749.99[医药卫生—神经病学与精神病学]