摘要
目的探讨医护协同管理模式对老年吸入性肺炎并急性呼吸窘迫综合征(ARDS)患者的作用效果。方法选取2021年6月至2022年12月在河南省胸科医院住院治疗的老年吸入性肺炎并ARDS患者86例为研究对象,根据护理方案分为对照组(40例)和研究组(46例)。对照组采用呼吸科常规护理,研究组采用医护协同管理模式。比较两组干预前后呼吸功能、护理质量评分、生活质量评分及两组并发症情况。结果干预后,两组患者用力肺活量(FVC)、第1秒用力呼气容积(FEV 1)及FEV 1/FVC增加,且研究组高于对照组(P<0.05)。研究组患者对护理的满意度高于对照组(P<0.05)。与干预前比较,干预后两组患者生活质量综合评估问卷各维度评分增加,研究组高于对照组(P<0.05)。研究组并发症发生率低于对照组(P<0.05)。结论医护协同管理模式可有效改善老年吸入性肺炎并发ARDS患者的呼吸功能,降低并发症发生风险,提高患者生活质量和对护理的满意度。
Objective To explore the effect of medical and nursing collaborative management model on elderly patients with inhaled pneumonia and acute respiratory distress syndrome(ARDS).Methods A total of 86 elderly patients with inhalation pneumonia complicated with ARDS who received treatment in Henan Provincial Chest Hospital from June 2021 to December 2022 were selected as the study subjects.They were divided into control group(40 cases)and research group(46 cases)according to nursing plans.The control group received routine nursing care in the respiratory department,while the research group received the medical and nursing cooperative management mode.The respiratory function,nursing quality score,quality of life score before and after intervention,and complications between two groups were compared.Results After intervention,forced vital capacity(FVC),forced expiratory volume in one second(FEV 1)and FEV 1/FVC increased significantly in both groups,and the research group was higher than the control group(P<0.05).The satisfaction of patients in the research group with nursing care was higher than that in the control group(P<0.05).Compared with before intervention,the generic quality of life inventory-74 scores in all dimensions after intervention of the two groups of patients increased significantly,and the research group was higher than the control group(P<0.05).The incidence of complications in the research group was lower than that in the control group(P<0.05).Conclusion The medical and nursing collaborative management model can effectively improve the respiratory function of elderly patients with inhaled pneumonia complicated with ARDS,reduce the risk of complications,and improve their quality of life and satisfaction with nursing.
作者
凡翠华
刘欣欣
岳庆华
FAN Cuihua;LIU Xinxin;YUE Qinghua(Pulmonary and Critical Care Medicine,Henan Provincial Chest Hospital,Zhengzhou 450003,China)
出处
《河南医学研究》
CAS
2024年第23期4398-4402,共5页
Henan Medical Research
基金
河南省科技攻关(指导立项)(232102310354)。
关键词
吸入性肺炎
急性呼吸窘迫综合征
老年
医护协同管理模式
效果
inhalation pneumonia
acute respiratory distress syndrome
elderly
medical and nursing cooperative management mode
effect
