摘要
目的探讨综合护理干预在重症呼吸衰竭患者中的应用价值。方法在医院2018年11月至2019年9月期间诊治的重症呼吸衰竭患者中选取114例作研究对象,根据所选护理模式不同分组:将选择常规护理模式者设为对照组(n=57),将选择综合护理模式者设为研究组(n=57)。对两组患者并发症发生率、监护室治疗时间、主观护理体验差异进行统计学分析。结果研究组患者并发症发生率(5.26%)低于对照组(19.30%)(P<0.05);研究组患者平均监护室治疗时间短于对照组(P<0.05);护理前两组肺通气量、用力肺活量对比无差异(P>0.05),护理后研究组两项指标均优于对照组(P<0.05);护理前两组氧分压(PaO2)、二氧化碳分压(PaCO_(2))对比无差异(P>0.05),护理后研究组PaO2高于对照组(P<0.05),PaCO_(2)低于对照组(P<0.05);研究组护理满意度高于对照组(P<0.05);护理前,两组世界卫生组织生活质量量表(WHOQOL-100)得分对比无差异(P>0.05),护理后研究组得分高于对照组(P<0.05)。结论综合护理干预可作为重症呼吸衰竭患者治疗期间理想护理模式,可减少并发症,促使患者早期康复,并予以良好主观护理体验,值得借鉴。
Objective To explore the application value of comprehensive nursing intervention in patients with severe respiratory failure.Methods One hundred and fourteen patients with severe respiratory failure diagnosed and treated in the hospital from November 2018 to September 2019 were selected as the research objects.They were divided into different groups according to the selected nursing modes:those who chose the conventional nursing mode were set as the control group(n=57),and those who chose the comprehensive nursing mode were set as the study group(n=57).The difference of complication rate,treatment time in intensive care unit and subjective nursing experience between the two groups was statistically analyzed.Results The incidence of complications in the study group(5.26%)was lower than that in the control group(19.30%)(P<0.05);The average ICU treatment time in the study group was shorter than that in the control group(P<0.05);There was no difference in pulmonary ventilation and forced vital capacity between the two groups before nursing(P>0.05).After nursing,the two indexes of the study group were better than those of the control group(P<0.05);Before nursing,there was no difference in PaO2 and PaCO_(2) between the two groups(P>0.05).After nursing,PaO2 in the study group was higher than that in the control group(P<0.05),PaCO_(2) was lower than that in the control group(P<0.05);The nursing satisfaction of the study group was higher than that of the control group(P<0.05);Before nursing,there was no difference in the scores of who quality of life scale(WHOQOL-100)between the two groups(P>0.05).After nursing,the scores of the study group were higher than those of the control group(P<0.05).Conclusion Comprehensive nursing intervention can be used as an ideal nursing mode for patients with severe respiratory failure during treatment,reduce complications,promote early recovery,and give good subjective nursing experience,which is worthy of reference.
作者
薛春艳
XUE Chunyan(Geriatric Center,Shenyang Fourth People's Hospital,Shenyang 110031,China)
出处
《中国医药指南》
2023年第3期29-32,共4页
Guide of China Medicine
关键词
综合护理干预
重症呼吸衰竭
主观护理体验
并发症
监护室治疗时间
Comprehensive nursing intervention
Severe respiratory failure
Subjective nursing experience
Complication
Treatment time in ICU
