全程责任制护理模式在老年上呼吸道感染患者中的应用效果  

Clinical application and effect evaluation of the full-responsibility nursing model in elderly patients with upper respiratory tract infections

作　　者：刘小静 LIU Xiaojing(Clinical Comprehensive Department,Kuankuo Town Health Centre of Suiyang County,Zunyi,Guizhou 563311,China)

机构地区：[1]绥阳县宽阔镇卫生院临床综合科,贵州遵义563311

出　　处：《医药前沿》2025年第13期135-138,共4页Journal of Frontiers of Medicine

摘　　要：目的探讨全程责任制护理模式在老年上呼吸道感染患者中的应用效果。方法选取2023年1月—2024年6月于绥阳县宽阔镇卫生院就诊的70例老年上呼吸道感染患者,根据不同护理方案分为常规组和观察组,各35例。常规组接受常规护理,观察组则实施全程责任制护理模式。比较两组负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、呼吸功能[第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC]、症状积分及护理满意度。结果护理前,两组HAMA、HAMD评分,FEV1、FVC、FEV1/FVC水平及症状积分比较,差异无统计学意义(P>0.05)。护理后,两组HAMA、HAMD评分低于护理前,且观察组低于常规组(P<0.05);两组FEV1、FVC、FEV1/FVC水平高于护理前,且观察组高于常规组(P<0.05);两组症状积分低于护理前,且观察组低于常规组(P<0.05)。观察组护理总满意度高于常规组(P<0.05)。结论全程责任制护理模式在老年上呼吸道感染患者中的应用效果显著,能有效降低患者的负性情绪水平,改善呼吸功能,减轻症状,提高护理满意度。Objective To explore the clinical application effect of whole-course responsibility nursing model in elderly patients with upper respiratory tract infection.Methods A total of 70 elderly patients with upper respiratory tract infection who were treated in Kuankuo Town Health Center of Suiyang County from January 2023 to June 2024 were selected and divided into routine group and observation group according to different nursing schemes,with 35 cases in each group.The routine group received routine nursing mode,while the observation group implemented the whole-course responsibility nursing mode.The negative emotion level[Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)],respiratory function[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),FEV1/FVC],symptom score and total effective rate of nursing were compared between the two groups.Results Before nursing,there were no significant differences in HAMA and HAMD scores,FEV1,FVC,FEV1/FVC levels,and symptom score between the two groups(P>0.05).After nursing,the HAMA and HAMD scores in the two groups were lower than those before nursing,and those in the observation group were lower than the routine group(P<0.05).After nursing,the FEV1,FVC,FEV1/FVC levels of the two groups was higher than that before nursing,and that of the observation group was higher than the routine group(P<0.05).After nursing,the symptom scores of the two groups were lower than those before intervention,and those in the observation group were lower than the routine group(P<0.05).The total nursing satisfaction of the observation group was higher than that of the routine group(P<0.05).Conclusions The application effect of whole-course responsibility nursing mode in elderly patients with upper respiratory tract infection is significant,which can effectively reduce the negative emotion level of patients,improve respiratory function,relieve symptoms and improve nursing satisfaction.

关 键 词：全程责任制护理 老年人 上呼吸道感染 负性情绪 呼吸功能 

分 类 号：R473[医药卫生—护理学]