阶段性目标护理干预对在老年重症肺部感染患者中的应用价值  

Application Value of Phased Target Nursing Intervention in Elderly Patients with Severe Pulmonary Infection

作　　者：万宁[1] 尚明娇 马原[2] 王静 WAN Ning;SHANG Ming-jiao;MA Yuan;WANG Jing(Geriatrics Department,Luoyang Central Hospital,Luoyang 471000,Henan Province,China;Respiratory Intensive Care Unit,Luoyang Central Hospital,Luoyang 471000,Henan Province,China)

机构地区：[1]洛阳市中心医院老年医学科,河南洛阳471000 [2]洛阳市中心医院呼吸重症监护室,河南洛阳471000

出　　处：《罕少疾病杂志》2024年第6期134-136,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省卫生健康委员会(LHGJ20210854)。

摘　　要：目的 探讨阶段性目标护理干预对在老年重症肺部感染患者中的应用价值。方法 选取2021年4月至2023年4月在本院呼吸内科和重症医学科收治的老年重症肺部感染患者86例,前瞻性研究将病例随机分为对照组、观察组,各组均43例。对照组予以常规护理,观察组阶段性目标护理干预,统计两组患者血气指标、心理状态、治疗有效率、临床症状缓解时间。结果 护理前,两组血气指标比较差异不显著(P>0.05),护理后,观察组血气指标Sa O2、Pa O2高于对照组(P<0.05),Pa CO2低于对照组(P<0.05),护理前,两组心理状态比较差异不显著(P>0.05),护理后,观察组SAS评分、SDS评分低于对照组(P<0.05),观察组治疗有效率97.67%优于对照组(P<0.05),观察组临床症状缓解时间均短于对照组(P<0.05)。结论 阶段性目标护理干预可以有效改善患者的血气指标,减轻心理状态,提高治疗有效率,缩短临床症状缓解时间。Objective To explore the application value of phased targeted nursing intervention in elderly patients with severe pulmonary infection.Methods A total of 86 elderly patients with severe pulmonary infection admitted to the Department of Respiratory Medicine and intensive Care Medicine of our hospital from April 2021 to April 2023 were selected,and the cases were randomly divided into control group and observation group,with 43 cases in each group.The control group was given routine nursing,the observation group was given phased target nursing intervention,and the blood gas index,psychological state,treatment effectiveness and clinical symptom remission time of the two groups were counted.Result Before nursing,there was no significant difference in blood gas indexes between the two groups(P>0.05);after nursing,blood gas indexes SaO2 and PaO2 in the observation group were higher than those in the control group(P<0.05),and PaCO2 was lower than those in the control group(P<0.05);before nursing,there was no significant difference in psychological state between the two groups(P>0.05);after nursing,there was no significant difference in psychological state between the two groups(P>0.05).The SAS score and SDS score of the observation group were lower than those of the control group(P<0.05),the effective rate of the observation group was 97.67%better than that of the control group(P<0.05),and the duration of clinical symptom remission in the observation group was shorter than that of the control group(P<0.05).ConclusionPhased target nursing intervention can effectively improve the blood gas index of patients,reduce the psychological state,improve the effective rate of treatment,and shorten the time of clinical symptom remission.

关 键 词：老年 重症肺部感染 阶段性目标护理 

分 类 号：R563.1[医药卫生—呼吸系统]