侧向旋转吸痰护理配合循证护理对重症肺炎伴呼吸衰竭患者血气分析指标、肺功能指标的影响  

Effect of Lateral Rotation Sputum Suction Nursing Combined with Evidence-Based Nursing on Blood Gas Analysis Indicators and Lung Function Indicators in Patients with Severe Pneumonia and Respiratory Failure

作　　者：李美玲 LI Meiling(Department of Nursing,Qufu People's Hospital,Jining Shandong,273100,China)

机构地区：[1]曲阜市人民医院护理部,山东济宁273100

出　　处：《反射疗法与康复医学》2024年第19期165-168,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的 探讨侧向旋转吸痰护理配合循证护理在重症肺炎伴呼吸衰竭患者中的干预效果。方法 选取2021年6月—2023年6月曲阜市人民医院收治的84例重症肺炎伴呼吸衰竭患者为研究对象,按随机数字表法将其分为对照组和观察组,每组42例。对照组实施常规吸痰护理配合循证护理,观察组实施侧向旋转吸痰护理配合循证护理,两组均干预1周。对比两组的血气分析指标、肺功能指标、病情恢复及并发症情况。结果 干预前,两组血气分析指标、肺功能指标对比,组间差异无统计学意义(P>0.05);干预1周后,观察组血氧饱和度、动脉血氧分压高于对照组,动脉血二氧化碳分压低于对照组,呼气峰值流速快于对照组,用力肺活量大于对照组,组间差异有统计学意义(P<0.05);观察组日均排痰量多于对照组,呼吸困难、肺部啰音缓解时间均短于对照组,并发症发生率为7.14%,低于对照组的23.81%,组间差异有统计学意义(P<0.05)。结论 侧向旋转吸痰护理配合循证护理能改善重症肺炎伴呼吸衰竭患者的血气指标及肺功能指标,加快患者恢复。Objective To explore the intervention effect of lateral rotation sputum suction nursing combined with evidence-based nursing in patients with severe pneumonia and respiratory failure.Methods A total of 84 patients with severe pneumonia and respiratory failure admitted to Qufu People's Hospital from June 2021 to June 2023 were selected as the research subjects,divided them into a control group and an observation group using a random number table method,with42 cases in each group.The control group received routine sputum suction nursing combined with evidence-based nursing,while the observation group received lateral rotation sputum suction nursing combined with evidence-based nursing,both groups were intervened for one week.Compare the blood gas analysis indicators,lung function indicators,disease recovery,and complications between two groups.Results Before the intervention,comparison of blood gas analysis indicators and lung function indicators between two groups,there were no statistically significant difference between groups(P>0.05);after one week of intervention,the blood oxygen saturation and arterial partial pressure of oxygen in the observation group were higher than those in the control group,arterial blood carbon dioxide partial pressure was lower than that in the control group,peak expiratory flow rate was faster than that in the control group,and forced vital capacity was greater than that in the control group,the difference between groups were statistically significant(P<0.05);the observation group had a higher daily sputum output than that in the control group,and the relief time for breathing difficulties and lung rales was shorter than that in the control group,the incidence of complications was 7.14%,which was lower than the 23.81% in the control group the difference between groups were statistically significant(P<0.05).Conclusion Lateral rotation sputum suction nursing combined with evidence-based nursing can improve blood gas and lung function indicators in patients with severe pneumonia and res

关 键 词：重症肺炎 呼吸衰竭 侧向旋转吸痰护理 循证护理 血气分析指标 肺功能指标 

分 类 号：R563.8[医药卫生—呼吸系统]