摘要
目的:观察循证护理在重症甲型H1N1流感患者机械通气中的应用效果。方法:选取行机械通气治疗的50例重症甲型H1N1流感患者作为研究对象,依据随机数字表法将其分为观察组和对照组各25例,对照组给予基础护理,观察组在对照组的基础上给予循证护理。比较两组住院时间、机械通气时间、护理质量、护理前后焦虑、抑郁状况及并发症发生情况。结果:观察组并发症发生率为8.00%(2/25),明显低于对照组的32.00%(8/25),差异有统计学意义(P<0.05);观察组住院时间、机械通气时间均明显短于对照组,护理质量评分明显高于对照组,差异均有统计学意义(P<0.05);护理后观察组医院焦虑抑郁量表(HAD)评分明显低于对照组,差异有统计学意义(P<0.05)。结论:在基础护理基础上采用循证护理可降低重症甲型H1N1流感患者机械通气中的并发症发生率和焦虑抑郁量表评分,缩短住院时间和机械通气时间,提高护理质量,效果优于单纯基础护理。
Objective:To observe application effects of evidence-based nursing in mechanical ventilation of patients with severe H1N1 influenza A.Methods:Fifty patients with severe H1N1 influenza A treated with mechanical ventilation were selected and divided into observation group(n=25)and control group(n=25)according to the random number table method.The control group was given basic nursing care,while the observation group was given the evidence-based nursing based on that of the control group.Then,the hospital stay,mechanical ventilation time,nursing quality,anxiety and depression conditions before and after the treatment,and complications were compared between the two groups.Results:The complication rate of the observation group was 8.00%(2/25),which was significantly lower than that of the control group(32.00%,8/25),and the difference was statistically significant(P<0.05).The hospital stay and mechanical ventilation time of the observation group were significantly shorter than those of the control group,7 the nursing quality score was significantly higher than that of the control group,and the differences were statistically significant(P<0.05).The scores of anxiety and depression(HAD)in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:For the patients with severe H1N1 influenza A,the evidence-based nursing on the basis of the basic nursing care can reduce the incidence of complications in the mechanical ventilation and the scores of anxiety and depression scale,shorten the length of hospital stay and the mechanical ventilation time,and improve the nursing quality score.Moreover,it is superior to single basic nursing care.
作者
赵亚娟
孙海宁
ZHAO Yajuan;Sun Haining(Department of Respiratory Medicine of Yingkou Hospital of Traditional Chinese Medicine,Yingkou 115000 Liaoning,China)
出处
《中国民康医学》
2019年第19期140-142,共3页
Medical Journal of Chinese People’s Health
关键词
重症甲型H1N1流感
机械通气
循证护理
Severe H1N1 influenza A
Mechanical ventilation
Evidence-based nursing
