摘要
目的:探究呼吸系统危重患者应用风险护理管理小组模式干预护理后肺功能的改善情况。方法:选取2019年12月—2021年2月成都中医药大学附属医院收治的85例呼吸系统危重患者作为研究对象,按随机数表法分为对照组(43例)和试验组(42例)。对照组实施常规护理,试验组在对照组实施常规护理的基础上,实施风险护理管理小组模式干预。两组患者均给予护理至出院。比较两组患者护理前后肺功能、护理后依从性、满意度及护理期间不良事件的发生情况。结果:护理前,两组患者肺功能用力肺活量(FVC)、一秒用力呼气容积(FEV1)、一秒用力呼气容积与最大肺活量比值(FEV1/FVC)比较,差异无统计学意义(t=0.089、0.213、1.906,P>0.05),护理后,两组患者FVC、FEV1、FEV1/FVC均升高,且试验组高于对照组,差异有统计学意义(t=2.127、2.151、7.450,P<0.05);护理后,试验组患者总依从率高于对照组,差异有统计学意义(χ^(2)=3.922,P<0.05);护理后,试验组患者护理满意度高于对照组,差异有统计学意义(χ^(2)=4.814,P<0.05);两组患者护理期间不良事件发生率比较,观察组明显低于对照组,差异有统计学意义(χ^(2)=8.273,P<0.05)。结论:风险护理管理小组模式干预能改善呼吸系统危重患者肺功能,提高患者依从性和满意度,降低不良事件的发生情况,进而提高护理质量。
Objective:To explore the improvement of pulmonary function in critical patients with respiratory system after applying risk nursing management group.Methods:A total of 85 critically ill patients with respiratory system admitted to the hospital from December 2019 to February 2021 were selected as the research objects,and divided into the control group(43 cases)and the ex⁃perimental group(42 cases)according to the random number table method.The control group was given routine nursing care,and the experimental group was given the risk nursing management group model intervention on the basis of routine nursing care in the control group.Both groups of patients were given nursing care until discharge.The pulmonary function,compliance,satisfaction and adverse events before and after nursing were compared between the two groups.Results:Before nursing,there was no signifi⁃cant difference in pulmonary function forced vital capacity(FVC),forced expiratory volume in one second(FEV1),and ratio of forced expiratory volume in one second to maximum vital capacity(FEV1/FVC)between the two groups(t=0.089,0.213,1.906,P>0.05).After nursing,FVC,FEV1,and FEV1/FVC of the two groups were all increased,and the experimental group was higher than the control group,and the difference was statistically significant(t=2.127,2.151,7.450,P<0.05).After nursing,the total compli⁃ance rate of patients in the experimental group was higher than that in the control group,and the difference was statistically signifi⁃cant(χ2=3.922,P<0.05).After nursing,the nursing satisfaction of patients in the experimental group was higher than that in the control group,and the difference was statistically significant(χ2=4.814,P<0.05).The incidence of adverse events in the two groups during nursing was significantly lower in the observation group than in the control group,and the difference was statistically significant(χ2=8.273,P<0.05).Conclusion:Risk nursing management group model intervention can improve the lung function of critically ill patients with r
作者
邓茜婕
DENG Qian-jie(Department of General Medicine,Affiliated Hospital of Chengdu University of Traditional Chinese Med-icine,Chengdu,Sichuan,610072,China)
出处
《黑龙江医学》
2022年第11期1324-1326,共3页
Heilongjiang Medical Journal
关键词
呼吸系统
危重
风险护理管理
小组
肺功能
依从性
满意度
Respiratory system
Critical care
Risk care management
Group
Lung function
Compliance
Satisfaction
