气道分级管理策略护理下的胸部物理疗法对老年重症肺炎机械通气患者的影响  

Effect of chest physiotherapy treatment under the nursing of airway graded management strategy on elderly patients with severe pneumonia and mechanical ventilation

作　　者：傅银娣 杨丽兰 刘璐 FU Yindi;YANG Lilan;LIU Lu(Jiangxi Provincial People's Hospital,Nanchang,330006,China)

机构地区：[1]江西省人民医院(南昌医学院第一附属医院),江西省南昌市330006

出　　处：《护理实践与研究》2022年第20期3025-3028,共4页Nursing Practice and Research

基　　金：江西省卫生健康委科技计划项目(编号:202210118)。

摘　　要：目的探讨气道分级管理策略护理下的胸部物理治疗对老年重症肺炎机械通气患者的影响。方法选择2019年1月—2021年12月收治于医院的老年重症肺炎机械通气患者80例为研究对象,按照组间基本资料具有可比性的原则分为对照组和观察组,每组40例。对照组接受常规护理的胸部物理治疗,观察组接受气道分级管理策略护理下的胸部物理治疗。比较两组患者呼吸功能指标、预后指标及并发症发生情况。结果干预后观察组患者潮气量高于对照组,呼吸频率、吸气阻力低于对照组(P<0.05);干预后观察组患者机械通气时间、重症监护室入住时间、总住院时间均短于对照组(P<0.05);观察组患者干预后机械通气并发症发生率低于对照组(P<0.05)。结论采用气道分级管理策略护理下的胸部物理治疗对老年重症肺炎机械通气患者施加干预,可改善其呼吸功能与预后指标,降低机械通气相关并发症发生率。Objective To explore the effect of chest physiotherapy treatment under the nursing of airway graded management strategy on elderly patients with severe pneumonia and mechanical ventilation.Methods To select 80elderly patients with severe pneumonia and mechanical ventilation who were admitted to the hospital from January 2019to December 2021 as the study objects,and they were divided into a control group and an observation group,with 40cases in each group according to the principle of comparability of basic data between groups.The control group received nursing of chest physiotherapy,and the observation group received chest physiotherapy under the nursing of airway graded management strategy.The respiratory function indexes,prognostic indexes and complications were compared between the two groups.Results After intervention,the tidal volume of the observation group was higher than that of the control group,and the respiratory rate and inspiratory resistance were lower than those of the control group(P<0.05).After intervention,the mechanical ventilation time,intensive care unit stay time and total hospital stay time of the observation group were shorter than those of the control group(P<0.05).After intervention,the incidence of mechanical ventilation complications in the observation group was lower than that in the control group(P<0.05).Conclusion The application of the intervention of chest physiotherapy treatment under the nursing of airway graded management strategy for elderly patients with severe pneumonia with mechanical ventilation can improve their respiratory function and prognostic indicators,and reduce the incidence of mechanical ventilation-related complications.

关 键 词：气道分级管理策略 胸部物理治疗 重症肺炎 机械通气 老年患者 呼吸频率 

分 类 号：R473.5[医药卫生—护理学]