重症肺炎患者抗感染药物治疗期间应用责任制护理的效果  

Effect of Responsibility System Nursing During Anti-infective Drug Treatment in Patients with Severe Pneumonia

作　　者：孙栋 孟明哲[1] 程军杰 贾璐[1] 陈璐[1] 杨记康 陈刚[1] SUN Dong;MENG Mingzhe;CHENG Junjie;JIA Lu;CHEN Lu;YANG Jikang;CHEN Gang(Jiaozuo People's Hospital,Jiaozuo 454000,Henan,China)

机构地区：[1]焦作市人民医院,河南焦作454000

出　　处：《中国药物滥用防治杂志》2025年第1期165-167,181,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学教育研究项目(编号:wjlx2021450)。

摘　　要：目的:观察重症肺炎患者抗感染药物治疗期间应用责任制护理的临床效果。方法:选取2022年1月—2023年12月接受抗感染药物治疗的90例重症肺炎患者,分为对照组47例和观察组43例,两组患者入院后均进行抗感染治疗及对症支持治疗,在此基础上对照组行常规护理,观察组则采用责任制护理模式,比较两组恢复情况、急性生理功能和慢性健康状况评分(APACHE Ⅱ)、动脉血气指标[血氧分压(PaO_(2))、氧合指数(PaO_(2)/FiO_(2))及二氧化碳分压(PaCO_(2))]、并发症发生情况。结果:观察组胸闷缓解时间、退热时间、咳嗽缓解时间、住院时间短于对照组(P<0.05);观察组干预后APACHE Ⅱ评分低于对照组(P<0.05);观察组干预后PaO_(2)、PaO_(2)/FiO_(2)高于对照组,PaCO_(2)低于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05)。结论:重症肺炎患者抗感染药物治疗期间应用责任制护理,能够帮助患者主要症状短时间内缓解,促进早期康复,患者APACHEⅡ评分降低、血气指标显著改善,且术后并发症减少,整体实施效果更理想。Objective:To observe the clinical effect of responsibility system nursing in patients with severe pneumonia during anti-infective drug treatment.Methods:A total of 90 patients with severe pneumonia who were treated with anti-infective drugs from January 2022 to December 2023 were selected and divided into control group(n=47)and observation group(n=43).Both groups received anti-infective treatment and symptomatic support treatment after admission.On this basis,the control group received routine nursing,while the observation group received responsibility nursing mode.The recovery,acute physiological function and chronic health status score(APACHEⅡ),arterial blood gas indexes[blood oxygen partial pressure(PaO_(2)),oxygenation index(PaO_(2)/FiO_(2))and carbon dioxide partial pressure(PaCO_(2))]and complications were compared between the two groups.Results:The remission duration of chest tightness,antipyretic time,cough remission duration and hospitalization time in the observation group were shorter than those in the control group(P<0.05).The APACHEⅡscore of the observation group was lower than that of the control group(P<0.05).After intervention,PaO_(2) and PaO_(2)/FiO_(2) in the observation group were higher than those in the control group,and PaCO_(2) was lower than that in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of responsibility system nursing during the treatment of anti-infective drugs in patients with severe pneumonia can help the main symptoms of patients to relieve in a short time and promote early rehabilitation.The APACHEⅡscore of patients is reduced,the blood gas index is significantly improved,and the postoperative complications are reduced.The overall implementation effect is more ideal.

关 键 词：重症肺炎 责任制护理 动脉血气 肺功能 并发症 

分 类 号：R47[医药卫生—护理学]