基于ABCDEF集束策略的量化评估与动态干预策略在呼吸危重症患者中的应用  

Application of Quantitative Assessment Based on ABCDEF Bundle Strategy and Dynamic Intervention Strategy in Critically Ill Patients with Respiratory Diseases

作　　者：曹洁 李晶晶[1] 张杰[1] Cao Jie;Li Jingjing;Zhang Jie(The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450000

出　　处：《齐鲁护理杂志》2024年第20期6-9,共4页Journal of Qilu Nursing

摘　　要：目的:探讨基于ABCDEF集束策略的量化评估与动态干预策略在呼吸危重症患者中的应用效果。方法:将2022年5月1日~2023年4月1日诊治的呼吸危重症患者60例作为对照组,实施常规护理干预;将2023年5月1日~2024年2月1日收治的60例作为研究组,实施基于ABCDEF集束策略的量化评估与动态干预策略。比较两组临床效果、血气指标、肺功能和并发症。结果:研究组临床总有效率高于对照组(P<0.05);研究组使用抗生素时间和住院时间短于对照组(P<0.05);干预后,两组动脉血二氧化碳分压(PaCO_(2))低于干预前(P<0.05),且研究组低于对照组(P<0.01);干预后,两组动脉血氧分压(PaO_(2))、pH值、第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、FEV_(1)/FVC高于干预前(P<0.05),且研究组高于对照组(P<0.01);研究组并发症发生率低于对照组(P<0.01)。结论:将基于ABCDEF集束策略的量化评估与动态干预策略应用在呼吸危重症患者中,可提高临床疗效,促进患者更快康复,改善血气指标和肺功能,降低并发症发生率。Objective:To explore the application effect of quantitative assessment based on ABCDEF bundle strategy and dynamic intervention strategy in critically ill patients with respiratory diseases.Methods:60 patients with critical respiratory disease,treated from May 1,2022 to April 1,2023,were selected as the control group,and routine nursing intervention was conducted,and other 60 patients admitted from May 1,2023 to February 1,2024 were selected as the study group,and the quantitative assessment based on ABCDEF bundle strategy and dynamic intervention strategy were implemented.The clinical effects,blood gas indexes,lung function and complications were compared between the two groups.Results:The total effective rate in the study group was significantly higher than that in the control group(P<0.05).The time of antibiotic use and hospital stay in the study group were shorter than that in the control group(P<0.05).After intervention,the arterial partial pressure of carbon dioxide(PaCO_(2))of the two groups was lower than that before intervention(P<0.05),and the arterial partial pressure of carbon dioxide of the study group was lower than that in the control group(P<0.01).After the intervention,the arterial partial pressure of oxygen(PaO_(2)),pH value,forced expiatory volume in one second(FEV_(1)),forced vital capacity(FVC)and FEV_(1)/FVC of the two groups were higher than those before the intervention(P<0.05),and those in the study group were higher than those in the control group(P<0.01).The incidence of complications in the study group was lower than that in the control group(P<0.01).Conclusion:The application of quantitative assessment based on ABCDEF bundle strategy and dynamic intervention strategy in critically ill respiratory patients can improve the clinical efficacy,promote faster recovery of patients,improve blood gas indexes and lung function,and reduce the incidence of complications.

关 键 词：ABCDEF集束策略 量化评估 动态干预策略 呼吸危重症 

分 类 号：R473.56[医药卫生—护理学]