强化呼吸道护理对ICU肺癌患者排痰效果及肺部感染的影响  

Effect of Intensive Respiratory Care on the Effect of Sputum Excretion and Lung Infection in ICU Lung Cancer Patients

作　　者：池千勉 黎华文 郑碧莹 CHI Qianmian;LI Huawen;ZHENG Biying(ICU,Sun Yat-sen University Cancer Center,Guangzhou,Guangdong Province,510060 China)

机构地区：[1]中山大学肿瘤防治中心ICU,广东广州510060

出　　处：《中外医疗》2024年第14期170-173,共4页China & Foreign Medical Treatment

摘　　要：目的 探究对ICU肺癌患者实施强化呼吸道护理干预后对排痰效果及肺部感染的影响。方法 回顾性选取2021年1月-2022年12月中山大学肿瘤防治中心收治的100例ICU肺癌患者的临床资料,根据护理方式的不同,分为对照组(采取常规护理干预模式,50例)与观察组(采取常规加强化呼吸道护理模式,50例)。对比两组排痰效果、肺部感染、心理状态、生活质量、护理满意度。结果 观察组排痰量多于对照组,差异有统计学意义(P<0.05)。观察组肺部感染发生率低于对照组,差异有统计学意义(P<0.05)。观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度为94.00%,高于对照组的80.00%,差异有统计学意义(χ^(2)=4.332,P<0.05)。结论 针对ICU肺癌患者,实施强化呼吸道护理模式,有助于提高排痰效果,减少肺部感染情况发生,提高患者生活质量及满意度。Objective To investigate the effects of intensive respiratory care intervention on the effect of sputum excre-tion and lung infection in ICU lung cancer patients after implementation.Methods The clinical data of 100 patients with lung cancer in ICU admitted to Sun Yat-sen University Cancer Center from January 2021 to December 2022 were retrospectively selected.According to different nursing methods,they were divided into control group(50 cases with conventional nursing intervention mode)and observation group(50 cases with conventional intensive respiratory nursing mode).The effect of expectoration,pulmonary infection,psychological state,quality of life and nursing satis-faction of the two groups were compared.Results The sputum output in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The incidence of pulmonary infection in obser-vation group was lower than that in control group,and the difference was statistically significant(P<0.05).The life quality score of the observation group was higher than that of the control group,and the difference was statistically sig-nificant(P<0.05).The total satisfaction of nursing in the observation group was 94.00%,higher than that in the control group(80.00%),and the difference was statistically significant(χ^(2)=4.332,P<0.05).Conclusion For ICU lung cancer patients,the implementation of intensive respiratory care model can help improve the effect of sputum excretion,re-duce the occurrence of lung infection,and improve the quality of life and satisfaction of patients.

关 键 词：强化呼吸道护理 ICU肺癌 排痰效果 肺部感染 

分 类 号：R47[医药卫生—护理学]