摘要
目的分析老年重症肺炎患者护理需求,评价整体护理干预对患者肺功能、生活质量等方面的积极影响,优化护理促进患者康复预后。方法选择我院2018年8月至2019年8月收治治疗的老年重症肺炎患者(n=104),采取随机数字表法分为对照组与观察组。对照组(n=52)老年重症肺炎患者采取常规护理,观察组(n=52)老年重症肺炎患者配合整体护理干预。比较两组老年重症肺炎患者的护理效果,包括疾病知晓率、护理满意度、院内感染发生率以及肺功能指标改善情况、生活质量状况、症状消失时间。结果组间护理效果比较,观察组老年重症肺炎患者的疾病知晓率、护理满意度均高于对照组,院内感染发生率低于对照组,P<0.05。组间干预后肺功能指标水平以及生活质量评分比较,观察组老年重症肺炎患者VC、MVV、FEV_(1)以及躯体功能、情感功能、物质生活功能、社会功能、总体健康评分等生活质量评分均高于对照组,P<0.05。组间症状消失时间比较,观察组老年重症肺炎患者发热消失用时、咳嗽消失用时、咳痰消失用时、肺啰音消失用时均短于对照组,P<0.05。结论老年重症肺炎患者治疗期间辅助整体护理干预可以提高患者疾病知晓率、安全性,促进患者肺功能与生活质量改善,患者满意度高。
Objective To analyze the nursing needs of elderly patients with severe pneumonia, evaluate the positive impact of overall nursing intervention on patients’ lung function and quality of life, and optimize the nursing to promote the prognosis of patients. Methods Elderly patients with severe pneumonia admitted to our hospital from August 2018 to August 2019(n=104) were selected and randomly divided into control group and observation group. In the control group(n=52), the elderly patients with severe pneumonia received routine nursing care, while in the observation group(n=52), the elderly patients with severe pneumonia received holistic nursing intervention. The nursing effect of two groups of elderly patients with severe pneumonia was compared,including disease awareness rate, nursing satisfaction, incidence of nosocomial infection, improvement of lung function index and quality of life and time to disappearance of symptoms. Results Comparing the nursing effect between groups, the disease awareness rate and nursing satisfaction of the elderly patients with severe pneumonia in the observation group were higher than those in the control group, and the incidence of nosocomial infection was lower than that in the control group(P <0.05). Comparison of pulmonary function index levels and quality of life scores after intervention between groups. The VC, MVV,FEV_(1), physical function, emotional function, material life function, social function, overall health score and other quality of life scores of the observation group of elderly patients with severe pneumonia were higher than those of the control group, P <0.05. Comparing the time of symptom disappearance between groups, the time to disappear of fever, cough, sputum and pulmonary rales in the observation group were shorter than those in the control group,P <0.05. Conclusion Assisted holistic nursing intervention during the treatment of elderly patients with severe pneumonia can improve the disease awareness rate and safety of patients, promote the improvement of lu
作者
张柢松
ZHANG Jisong(No.1 Department of Cardiology,Dandong Central Hospital,Dandong 118000,China)
出处
《中国医药指南》
2021年第34期29-31,共3页
Guide of China Medicine
关键词
整体护理干预
肺炎
肺功能
生活质量
Holistic nursing intervention
Pneumonia
Ppulmonary function
Quality of life
