老年肺栓塞患者抗凝治疗中责任制护理对患者血气指标的影响  

The effect of responsibility nursing on blood gas index in anticoagulant therapy of elderly patients with pulmonary embolism

作　　者：吴海燕[1] Wu Haiyan(Respiratory Medicine,Tengzhou Hospital of Traditional Chinese Medicine,277599,China)

机构地区：[1]滕州市中医医院呼吸内科,277599

出　　处：《国际护理学杂志》2022年第13期2395-2399,共5页international journal of nursing

摘　　要：目的探讨老年肺栓塞患者抗凝治疗中责任制护理对患者血气指标的影响。方法选取2018年3月至2019年10月该院收治的老年肺栓塞患者102例,两组患者均接受抗凝治疗,依据两组不同护理方式分为两组,对照组应用常规护理,研究组应用责任制护理。针对两组相关的临床症状持续时长进行比较及观察。针对两组治疗前、治疗后相关的凝血指标进行比较及观察。针对两组治疗前、治疗后相关的动脉血气指标进行比较及观察。结果研究组所有临床症状持续时长均短于对照组(均P<0.05)。研究组治疗后相关凝血指标:APTT、TT及PT水平显著高于对照组(均P<0.05)。研究组治疗后相关动脉血气指标:PaO_(2)、PaCO_(2)水平显著高于对照组(均P<0.05)。结论给予老年肺栓塞患者进行抗凝治疗的过程当中使用责任制护理,可显著缩短患者相关的临床症状持续时间,提高患者的APTT、PaO_(2)及PaCO_(2)水平。Objective To explore the effect of responsibility nursing on blood gas index in anticoagulant therapy of elderly patients with pulmonary embolism.Methods A total of 102 elderly patients with pulmonary embolism admitted to this hospital from March 2018 to October 2019 were selected and divided into two groups according to different nursing methods.Both groups received anticoagulant therapy.Routine nursing was used in the control group,and responsibility nursing was used in the study group.The duration of relevant clinical symptoms of the two groups were compared and observed.The coagulation indexes of the two groups were compared and observed before and after treatment.The arterial blood gas indexes of the two groups were compared and observed before and after treatment.Results The duration of all clinical symptoms in the study group was shorter than that in the control group(P<0.05).The levels of APTT,TT and PT in the study group were significantly higher than those in the control group(P<0.05).The levels of PaO_(2) and PaCO_(2) in the study group were significantly higher than those in the control group(P<0.05).Conclusions The use of responsible nursing in the process of anticoagulant therapy for elderly patients with pulmonary embolism can significantly shorten the duration of patient-related clinical symptoms and improve the levels of APTT,PaO_(2) and PaCO_(2).

关 键 词：老年肺栓塞 抗凝 责任制护理 APTT PaO_(2) PaCO_(2) 

分 类 号：R473.5[医药卫生—护理学]