整体护理干预在HIV感染合并重症肺炎患者行无创机械通气治疗中的应用  

Application of Holistic Nursing Intervention in Non-invasive Mechanical Ventilation for HIV Infected Patients with Severe Pneumonia

作　　者：侯君莲 易云兰[1] 吴展慧 HOU Jun-lian;YI Yun-lan;WU Zhan-hui(Three Departments of Infection,The Third People's Hospital of Shenzhen,Shenzhen 518112,China)

机构地区：[1]深圳市第三人民医院感染三科,广东深圳518112

出　　处：《吉林医学》2023年第3期758-762,共5页Jilin Medical Journal

基　　金：广东省高水平临床重点专科(深圳市配套建设经费)资助项目[项目编号:SZGSP011]。

摘　　要：目的:探讨整体护理在人类免疫缺陷病毒(HIV)感染合并重症肺炎患者接受无创机械通气治疗中的护理效果。方法:选取HIV感染合并重症肺炎行无创机械通气患者150例为研究对象。按收治时间将75例患者给予常规护理措施,设为对照组;另将收治的75例患者给予整体护理干预,设为研究组。比较两组负性情绪评分、血气指标水平,不良反应发生率及护理满意度。结果:两组护理前焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05),研究组护理后SAS评分、SDS评分低于对照组(P<0.05);两组护理前氧合指数(PaO_(2)/FiO_(2))、血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))水平比较,差异无统计学意义(P>0.05);研究组护理后PaO_(2)/FiO_(2)、PaO_(2)水平高于对照组,PaCO_(2)水平低于对照组,差异有统计学意义(P<0.05);研究组不良反应发生率低于对照组,差异有统计学意义(P<0.05);研究组护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:对HIV感染合并重症肺炎患者行无创机械通气治疗的同时给予整体护理干预措施,可有效改善患者负性情绪评分、血气指标水平,降低不良反应发生率,提升患者护理满意度,具有较高的临床价值。Objective To explore the effect of holistic nursing care in patients with human immunodeficiency virus(HIV) infection and severe pneumonia receiving non-invasive mechanical ventilation treatment.Method A total of 150 HIV-infected patients with severe pneumonia who underwent non-invasive mechanical ventilation were included in the study. By admission time, 75 cases were admitted and given routine nursing measures as the control group, 75 patients were admitted to receive holistic nursing intervention as the study group. The negative emotion scores, blood gas index levels, incidence of adverse reactions and nursing satisfaction were compared between the two groups.Results There was no statistically significant difference between the two groups in the scores of the self-rating anxiety scale(SAS) and the self-rating depression scale(SDS) before nursing(P>0.05),After nursing, the SAS and SDS scores of the study group were lower than those of the control group(P<0.05);The pre-care oxygenation index(PaO_(2)/FiO_(2)), blood oxygen partial pressure(PaO_(2)), arterial carbon dioxide partial pressure(PaCO_(2)) levels were compared, and the difference was not statistically significant(P>0.05);The PaO_(2)/FiO_(2)and PaO_(2)levels of the study group after nursing were higher than those of the control group, and the PaCO_(2)level was lower than that of the control group(P<0.05);The incidence of adverse reactions in the study group was lower than that in the control group(P<0.05);The nursing satisfaction rate of the study group was significantly higher than that of the control group(P<0.05). Conclusion Non-invasive mechanical ventilation for HIV-infected patients with severe pneumonia and overall nursing interventions can effectively improve the patient’s negative emotion score and blood gas index levels, reduce the incidence of adverse reactions, and improve patient care satisfaction. It has high clinical value.

关 键 词：人类免疫缺陷病毒 无创机械通气 整体护理 重症肺炎 

分 类 号：R473.5[医药卫生—护理学]