JBI模式指导的责任制干预在肺癌合并肺部感染患者中的应用  

Application of JBI model guided responsibility intervention in patients with lung cancer complicated with pulmonary infection

作　　者：李艳艳 白玉玲[1] 刘莹莹 冯巧梅 马亚丽 LI Yanyan;BAI Yuling;LIU Yingying;FENG Qiaomei;MA Yali(Respiratory Intensive Care Unit,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,He’nan,China;First Department of Oncology,Shangqiu No.1 People’s Hospital,Shangqiu 476100,He’nan,China)

机构地区：[1]郑州大学第一附属医院呼吸重症监护病区,郑州450052 [2]商丘市第一人民医院肿瘤一科,河南商丘4761000

出　　处：《癌症进展》2024年第22期2506-2508,2520,共4页Oncology Progress

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20191480)。

摘　　要：目的 探讨JBI模式指导的责任制干预在肺癌合并肺部感染患者中的应用效果。方法 将120例肺癌合并肺部感染患者根据干预方式的不同分为对照组59例和观察组61例,对照组采取常规干预,观察组在对照组的基础上加用JBI模式指导的责任制干预。比较两组患者的临床指标、血气指标[动脉血二氧化碳分压(PaCO_(2))、血氧饱和度(SaO_(2))、血氧分压(PaO_(2))]、并发症发生情况及满意度。结果 观察组患者气喘消失时间、咳嗽消失时间、哮鸣音消失时间、重症监护室(ICU)停留时间及住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。干预后,两组患者SaO_(2)、PaO_(2)水平均升高,PaCO_(2)水平均降低,且观察组患者SaO_(2)、PaO_(2)水平均高于对照组,PaCO_(2)水平低于对照组,差异均有统计学意义(P﹤0.05)。观察组患者并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05)。结论 JBI模式指导的责任制干预可促进肺癌合并肺部感染患者恢复,改善血气指标,降低并发症发生风险,提高患者满意度。Objective To investigate the application of JBI model guided responsibility intervention in patients with lung cancer complicated with pulmonary infection.Method A total of 120 patients with lung cancer complicated with pulmonary infection were divided into control group(59 cases)and observation group(61 cases)according to different in-tervention methods.The control group received routine intervention,and the observation group was supplemented with JBI model guided responsibility intervention on the basis of the control group.The clinical indicators,blood gas indica-tors[partial pressure of carbon dioxide in arterial blood(PaCO_(2)),blood oxygen saturation(SaO_(2)),blood partial pressure of oxygen(PaO_(2))],incidence of complications and satisfaction of the two groups were compared.Result The asthma dis-appearance time,cough disappearance time,wheezing sound disappearance time,intensive care unit(ICU)stay time and hospital stay in observation group were significantly shorter than those in control group,the differences were statistically significant(P<0.01).After the intervention,the levels of SaO_(2) and PaO_(2) in both groups were increased,and the levels of PaCO_(2) were decreased,and the levels of SaO_(2) and PaO_(2) in the observation group were higher than those in the control group,and the level of PaCO_(2) was lower than that in the control group,the differences were statistically significant(P<0.05).The total incidence of complications of observation group was lower than that of control group,and the total satis-faction rate was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion JBI model guided responsibility intervention can promote the recovery of lung cancer patients with pulmonary infection,im-prove blood gas index,reduce the risk of complications,and improve patients’satisfaction.

关 键 词：肺癌 肺部感染 JBI模式 责任制干预 满意度 

分 类 号：R734.2[医药卫生—肿瘤]