系统化护理在重症呼吸衰竭患者中的应用效果  

Application effects of systematic nursing in patients with severe respiratory failure

作　　者：张霞[1] ZHANG Xia(ICU Zone II of Qilu Hospital of Shandong University,Jinan 250000 Shandong,China)

机构地区：[1]山东大学齐鲁医院ICU二区,山东济南250000

出　　处：《中国民康医学》2022年第22期150-153,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察系统化护理在重症呼吸衰竭患者中的应用效果。方法:选取2020年12月至2021年12月该院收治的72例重症呼吸衰竭患者进行前瞻性研究,按照随机数字表法分成对照组和研究组各36例。对照组采取常规护理,研究组采取系统化护理,比较两组护理前后肺功能指标[第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC]水平、负性情绪[汉密尔顿抑郁量表(HAMD-24)、汉密尔顿焦虑量表(HAMA-14)]评分、ICU治疗时间、机械通气时间、ICU住院期间并发症发生率和护理满意度。结果:护理后,两组FEV_(1)、FVC和FEV_(1)/FVC水平均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);护理后,两组HAMA-14、HAMD-24评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);研究组ICU治疗时间和机械通气时间均短于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为8.33%,低于对照组的27.78%,差异有统计学意义(P<0.05);研究组护理满意度为94.44%,高于对照组的77.78%,差异有统计学意义(P<0.05)。结论:系统化护理应用于重症呼吸衰竭患者可提高肺功能指标水平和护理满意度,缩短ICU治疗时间和机械通气时间,降低负性情绪评分和并发症发生率,效果优于常规护理。Objective:To observe application effects of systematic nursing in patients with severe respiratory failure.Methods:A prospective study was conducted on 72 patients with severe respiratory failure admitted to this hospital from December 2020 to December 2021.They were divided into control group and study group according to the random number table method,36 cases in each.The control group received routine nursing,while the study group was given the systematic nursing.The levels of pulmonary function indexes[forced expiratory volume in one second(FEV_(1)),forced vital capacity(FVC),FEV_(1)/FVC],the negative emotion score[Hamilton depression scale(HAMD-24),Hamilton anxiety scale(HAMA-14)],the ICU treatment time,the mechanical ventilation time,the incidence of complications during the ICU hospitalization and the nursing satisfaction were compared between the two groups before and after the nursing.Results:After the nursing,the levels of FEV_(1),FVC and FEV_(1)/FVC in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of HAMA-14 and HAMD-24 in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The ICU treatment time and the mechanical ventilation time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 8.33%,which was lower than 27.78%in the control group,the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the study group was 94.44%,which was higher than 77.78%of the control group,the difference was statistically significant(P<0.05).Conclusions:The systematic nursing for the patients with severe respiratory failure can improve the levels of lung function indexes and the

关 键 词：系统化护理 重症呼吸衰竭 负性情绪 肺功能 并发症 护理满意度 

分 类 号：R473.5[医药卫生—护理学]