基于预见理论的分级护理在肺栓塞患者中的应用  

Effect of graded nursing on pulmonary embolism patients based on prediction theory

作　　者：陈伟[1] 张芳[1] 左建云[1] Chen Wei;Zhang Fang;Zuo Jianyun(Respiratory Department,Jinan Central Hospital,Jinan 250013,China)

机构地区：[1]济南市中心医院呼吸科,济南250013

出　　处：《国际护理学杂志》2024年第12期2188-2192,共5页international journal of nursing

基　　金：山东省自然科学基金资助项目(ZR2021QH266)。

摘　　要：目的分析基于预见理论的分级护理对肺栓塞患者的影响。方法选取2019年1月至2022年1月济南市中心医院收治的肺栓塞患者118例。应用随机数字分组法,将研究对象随机分为对照组与实验组,各59例。对照组实施临床常规护理,实验组实施基于预见理论的分级护理。比较两组患者呼吸动力学指标、实验室检查结果以及不良反应发生情况。结果护理后,实验组患者胸肺顺应性(CT)(36.65±10.86)ml/cmH2O显著高于对照组,气道峰压(Ppeak)(27.09±3.54)cmH2O、气道阻力(Raw)(26.14±3.52)cmH2O·L^(-1)·s^(-1)、血小板计数(PTL)(252.56±26.84)×10^(9)/L、纤维蛋白原(FIB)(3.05±1.25)g/L、抗凝血酶(AT)(100.35±8.54)%水平以及不良反应发生率(6.78%)显著低于对照组,差异有统计学意义(P<0.05)。结论给予肺栓塞患儿基于预见理论的分级护理可显著改善患者呼吸动力学指标和血液指标等,益于提高患者预后情况。Objective To analyze the effect of graded nursing with predictive theory on pulmonary embolism patients.Methods A total of 118 patients with pulmonary embolism admitted to the hospital from January 2019 to January 2022 were selected.The study subjects were randomly divided into control group and experimental group by random number grouping method,59 cases in each group.The control group implemented clinical routine nursing,and the experimental group implemented graded nursing with predictive theory.The respiratory dynamics indexes,laboratory test results and adverse reactions were compared between the two groups.Results After nursing,the thoracic and pulmonary compliance(CT)of experimental group(36.65±10.86)ml/cmH2O was significantly higher than that of control group,peak airway pressure(Ppeak)(27.09±3.54)cmH2O,Raw(26.14±3.52)cmH2O·L^(-1)·s^(-1),platelet count(PLT)(252.56±26.84)×10^(9)/L,fibrinogen(FIB)(3.05±1.25)g/L,antithrombin(AT)(100.35±8.54)%and the incidence of adverse reactions(6.78%)were significantly lower than those of control group,and the differences were statistically significant(P<0.05).Conclusions Grading nursing with predictive theory can significantly improve the nursing dynamics and blood indexes of patients with pulmonary embolism,which is beneficial to improve the prognosis of patients.

关 键 词：预见理论 分级护理 肺栓塞 

分 类 号：R473.5[医药卫生—护理学]