摘要
目的:分析三维护理模式对肺栓塞患者呼吸动力学及生存质量的影响。方法:选取2020年11月—2021年11月徐州医科大学附属医院收治的86例肺栓塞患者,随机分为对照组43例与观察组43例。对照组给予常规化护理,观察组在对照组的基础上给予三维护理模式。记录两组心率、呼吸、舒张压(DBP)、收缩压(SBP)水平;采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对两组焦虑和抑郁情况进行评估;采用全自动凝血分析仪检测两组血浆凝血酶原时间(PT)、血小板计数(PLT)水平;记录两组胸肺顺应性(CT)、气道阻力(Raw)、气道峰压(Ppeak)水平;采用健康调查简表(SF-36)评估两组生存质量,对护理后满意度进行统计。结果:与对照组相比,观察组护理后心率、呼吸、DBP、SBP、SAS评分、SDS评分、Raw、Ppeak水平均显著降低,PT、PLT、CT、各项生存质量评分均升高,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论:肺栓塞患者给予三维护理模式干预,能有效改善临床生命体征,改善负性情绪,提高凝血功能,改善呼吸动力学水平,提升整体生存质量。
Objective:To analyze the effect of three-dimensional nursing mode on respiratory dynamics and quality of life in patients with pulmonary embolism.Method:A total of 86 patients with pulmonary embolism who admitted to the Affiliated Hospital of Xuzhou Medical University from November 2020 to November 2021 were selected and randomly divided into 43 patients in the control group and 43 patients in the observation group.The control group was given routine nursing,and the observation group was given three-dimensional nursing model on the basis of the control group.The heart rate,respiration,diastolic blood pressure(DBP)and systolic blood pressure(SBP)levels of two groups were recorded;the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the anxiety and depression levels in two groups;the levels of plasma prothrombin time(PT)and platelet count(PLT)were detected by automatic coagulation analyzer;the levels of chest lung compliance(CT),airway resistance(Raw)and peak airway pressure(Ppeak)were recorded in two groups;the health survey summary table(SF-36)was used to evaluate the quality of life of two groups,and the satisfaction after nursing was counted.Result:Compared with the control group,the heart rate,respiration,DBP,SBP,SAS score,SDS score,Raw and Ppeak levels in the observation group were significantly lower,and PT,PLT,CT and various quality of life scores were increased,the differences were statistically significant(P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Three-dimensional nursing mode for patients with pulmonary embolism can effectively improve clinical vital signs,improve negative emotions,raise coagulation function,improve the respiratory dynamics level of patients,and improve the overall quality of survival.
作者
高明月
陈碧
周莹
GAO Mingyue;CHEN Bi;ZHOU Ying(The Affiliated Hospital of Xuzhou Medical University,Xuzhou 221006,China;不详)
出处
《中外医学研究》
2023年第18期96-101,共6页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
肺栓塞
三维护理模式
呼吸动力学
生存质量
满意度
Pulmonary embolism
Three-dimensional nursing model
Respiratory dynamics
Quality of life
Satisfaction
