基于JBI模式的责任制护理联合肺康复训练对重症肺炎机械通气患者康复进程及生活质量的影响  

Effect of Responsibility Nursing Based on JBI Model Combined with Pulmonary Rehabilitation Training on Rehabilitation Process and Quality of Life of Severe Pneumonia Patients Undergoing Mechanical Ventilation

作　　者：孟艳杰 MENG Yanjie(Department of Intensive Care Medicine,Hefei First People’s Hospital,Hefei 230000,China)

机构地区：[1]安徽省合肥市第一人民医院重症医学科,安徽合肥230000

出　　处：《中国伤残医学》2024年第23期138-141,146,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨基于乔安娜·布里格斯研究所(JBI)模式的责任制护理联合肺康复训练在重症肺炎机械通气患者中的应用效果。方法:选取2021年1月—2023年1月合肥市第一人民医院收治的100例重症肺炎机械通气患者为研究对象,按随机数字表法分为对照组及观察组,各50例。对照组采用常规护理,观察组采用基于JBI模式的责任制护理联合肺康复训练。对比两组将其负性情绪、并发症发生率、健康水平、康复进程及生活质量。结果:干预后,观察组的焦虑自评量表、抑郁自评量表评分分别为(42.42±5.20)分、(43.29±5.10)分,均低于对照组的(49.54±6.35)分、(48.04±4.25)分,差异均有统计学意义(P<0.05)。观察组的并发症发生率6.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。干预后,观察组的急性生理与慢性健康状况评分中各项评分及总分均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组的机械通气、ICU住院、总住院时间分别为(7.25±1.44)d、(9.38±1.73)d、(13.14±2.85)d,均短于对照组的(9.35±1.26)d、(12.77±2.60)d、(16.13±2.42)d,差异均有统计学意义(P<0.05)。随访1个月,观察组的的世界卫生组织生存质量测定量表中各项评分均高于对照组,差异均有统计学意义(P<0.05)。结论:基于JBI模式的责任制护理联合肺康复训练可减轻重症肺炎机械通气患者的负性情绪,改善其身体健康状况,减少并发症,加快康复,提升其生活质量。Objective:To investigate the effect of responsible nursing based on Joanna Briggs Institute(JBI)model combined with pulmonary rehabilitation training in severe pneumonia patients underwent mechanical ventilation.Methods:100 severe pneumonia patients underwent mechanical ventilation in Hefei First People’s Hospital from January 2021 to January 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 50 cases in each group.The control group received routine nursing,and the observation group received responsibility nursing based on JBI model combined with pulmonary rehabilitation training.The negative emotion,complication rate,health level,recovery process and quality of life were compared between the two groups.Results:After intervention,the scores of self-rating anxiety scale and self-rating depression scale in the observation group were(42.42±5.20)points and(43.29±5.10)points,respectively,which were lower than(49.54±6.35)points and(48.04±4.25)points of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 6.00%,which was lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of the acute physiology and chronic health evaluation and the total score in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the mechanical ventilation,ICU hospitalization and total hospital stay in the observation group were(7.25±1.44)d,(9.38±1.73)d and(13.14±2.85)d,respectively,which were shorter than(9.35±1.26)d,(12.77±2.60)d and(16.13±2.42)d in the control group,respectively,the differences were statistically significant(P<0.05).After 1 month of follow-up,the scores of the World Health Organization Quality of Life-100 Scale in the observation group were higher than those in the control group,an

关 键 词：重症肺炎 机械通气 乔安娜·布里格斯研究所模式 责任制护理 肺康复训练 

分 类 号：R473[医药卫生—护理学]