摘要
目的:分析老年肺炎患者实施优质护理对肺功能、情绪指标的影响。方法:选取2020年11月-2021年12月烟台市烟台山医院收治的老年肺炎患者92例为观察对象,按照随机数字表法分为对照组与研究组,各46例。对照组给予常规护理干预,研究组给予优质护理干预,比较两组患者时间相关指标、呼吸功能指标[用力肺活量(FVC)占预估值总含量的百分比、第1 s用力呼气量(FEV1)占总估值的百分比、最大通气量(MVV)占预估值的百分比]、氧合指数、负面情绪[抑郁自评量表(SDS)和焦虑自评量表(SAS)]。结果:研究组机械通气时间、ICU留置时间、症状缓解时间、抗生素用药时间均短于对照组,差异有统计学意义(P<0.05);干预后,两组患者FVC占预估值的百分比、FEV1占预估值的百分比、MVV占预估值的百分比均升高,研究组高于对照组,差异有统计学意义(P<0.05);干预后3、7、14 d,两组患者氧合指数均升高,研究组高于对照组,差异有统计学意义(P<0.05);干预后,两组患者SAS评分与SDS评分均降低,研究组低于对照组,差异有统计学意义(P<0.05)。结论:优质护理能够改善老年肺炎患者肺功能、氧合指数、负面情绪,可缩短治疗时间。
Objective:To analyze the effect of high-quality care on pulmonary function and emotional index in elderly patients with pneumonia.Methods:A total of 92 elderly pneumonia patients admitted to Yantai Mountain Hospital from November 2020 to December 2021 were selected as the observation subjects.According to random number table method,they were divided into control group and study group,with 46 cases in each group.The control group received routine nursing intervention,and the study group received high-quality nursing intervention.The time related indexes,respiratory function indexes[the percentage of forced vital capacity(FVC)in the total estimated value,the percentage of forced expiratory volume in 1 s(FEV1)in the total estimated value,and the percentage of maximal ventilation volume(MVV)in the estimated value],oxygenation index,and negative emotions[Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)]were compared between the two groups.Results:The mechanical ventilation time,ICU retention time,symptom relief time,and antibiotic medication time in the study group were all shorter than those in the control group,with statistically significant differences(P<0.05).After intervention,the percentage of FVC in the estimated value,the percentage of FEV1 in the estimated value,and the percentage of MVV in the estimated value all increased in the two groups,the study group was higher than the control group,and the difference was statistically significant(P<0.05).At 3 d,7 d and 14 d after intervention,the oxygenation index in the two groups increased,and the study group was higher than the control group,and the difference was statistically significant(P<0.05).After intervention,both SAS and SDS scores decreased in the two groups,and the study group was lower than the control group,with a statistically significant difference(P<0.05).Conclusion:High-quality care can improve the pulmonary function,oxygenation index and negative emotions,and shorten the treatment time in elderly pneumonia patients.
作者
孙华宁
林艳妍
Sun Hua-ning;Lin Yan-yan(Department of Respiratory and Critical Care Medicine,Yantai Mountain Hospital,Yantai 264001,Shandong Province,China;Department of Outpatient,Yantai Mountain Hospital,Yantai 264001,Shandong Province,China)
出处
《中外医药研究》
2022年第17期118-120,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
优质护理
老年肺炎
肺功能
负面情绪
氧合指数
High-quality care
Elderly pneumonia
Pulmonary function
Negative emotions
Oxygenation index
