摘要
目的探讨护理质量敏感指标的风险管理在老年重症肺炎患者中的应用效果。方法选取2021年5月至2023年5月该科收治的老年重症肺炎患者94例作为研究对象,采用随机数字表法将其分为对照组和观察组,每组47例。对照组患者实施常规护理,观察组患者实施基于护理质量敏感指标的风险管理,2组均持续护理至患者出院。比较2组护理管理效果。结果2组患者护理后血气分析指标优于护理前,且观察组患者二氧化碳分压低于对照组,差异均有统计学意义(P<0.05);观察组患者护理后动脉血氧分压、氧合指数均高于对照组,但差异均无统计学意义(P>0.05)。观察组患者机械通气时间、住院时间均短于对照组,呼吸机相关肺炎、跌倒坠床等护理不良事件发生率均低于对照组,护理后健康调查简表(SF-36)各项评分、护理满意度评分均高于对照组,差异均有统计学意义(P<0.05)。结论基于护理质量敏感指标的风险管理应用于老年重症肺炎患者中效果良好,可改善患者血气分析水平,缩短机械通气时间、住院时间,降低护理不良事件发生风险,进一步提升其生活质量。
Objective To explore the application effect of risk management based on nursing quality sensitive indicators in elderly patients with severe pneumonia.Methods A total of 94 elderly patients with severe pneumonia admitted to the Respiratory Department of Zhengzhou Yihe Hospital from May 2021 to May 2023 were selected as the study subjects.The 94 elderly patients with severe pneumonia were divided into the control group and the observation group using a random number table method,with 47 cases in each group.The patients in the control group were given routine nursing care,while the patients in the observation group were given risk management based on sensitive indicators of nursing quality.Both groups continued to receive care until the patients were discharged.The nursing management effects of the two groups were compared.Results The indexes of blood gas analysis in the two groups after nursing were better than those before nursing,and the partial pressure of carbon dioxide in the observation group was lower than that in the control group,with statistical significances(P<0.05).The arterial oxygen partial pressure,oxygen and index in the observation group were higher than those in the control group after nursing,but the differences were not statistically significant(P>0.05).The duration of mechanical ventilation and hospitalization in the observation group were shorter than those in the control group,and the total incidence of nursing adverse events such as ventilator-associated pneumonia and falling off the bed was lower than that in the control group.The scores of SF-36 and the scores of nursing satisfaction were higher than those in the control group,with statistical significances(P<0.05).Conclusion After risk management intervention based on nursing quality sensitive indicators,elderly patients with severe pneumonia can improve their blood gas analysis indicators,further shorten their mechanical ventilation time,reduce hospital stay,reduce nursing adverse events such as ventilator-associated pneumonia and falls
作者
杨敬雅
YANG Jingya(Department of Respiratory Medicine,Zhengzhou Yihe Hospital,Zhengzhou,Henan 450000,China)
出处
《现代医药卫生》
2024年第17期2973-2976,2980,共5页
Journal of Modern Medicine & Health
关键词
重症肺炎
老年人
护理质量敏感指标
风险管理
血气分析
机械通气
护理不良事件
生活质量
Severe pneumonia
Elderly
Sensitive indicators of nursing quality
Risk management
Blood gas analysis
Mechanical ventilation
Nursing adverse events
Quality of life
