摘要
目的:观察集束化护理在重症监护室(ICU)重症肺炎患者中的应用效果。方法:选取2019年9月至2020年8月该院收治的96例ICU重症肺炎患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各48例。对照组给予常规护理,观察组给予集束化护理,比较两组祛痰效果、护理前后血气分析指标[动脉血氧饱和度(SaO_(2))、动脉血二氧化碳分压(PaCO_(2))、动脉血氧分压(PaO_(2))]水平、预后指标水平及并发症发生率。结果:观察组祛痰总有效率为97.92%,高于对照组的81.25%,差异有统计学意义(P<0.05);观察组SaO_(2)、PaO_(2)水平均高于对照组,PaCO_(2)水平低于对照组,差异有统计学意义(P<0.05);观察组住院时间、通气改善时间、ICU停留时间及呼吸机使用时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.17%,低于对照组的16.67%,差异有统计学意义(P<0.05)。结论:集束化护理应用于ICU重症肺炎患者,可提升祛痰效果,改善血气分析指标水平,促进预后,降低并发症发生率,其效果优于常规护理。
Objective:To observe application effect of cluster nursing in patients with severe pneumonia in intensive care unit(ICU).Methods:A prospective study was conducted on 96 patients with severe pneumonia in the ICU admitted to the hospital from September 2019 to August 2020.They were divided into control group and observation group according to the random number table method,48 patients in each group.The control group was given routine nursing,while the observation group was given cluster nursing.The expectorant effects,the blood gas analysis indicator levels[arterial oxygen saturation(SaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2)),arterial partial pressure of oxygen(PaO_(2))],the prognostic indicator levels,and the incidence of complications were compared between the two groups.Results:The total effective rate of expectorant treatment in the observation group was 97.92%,higher than 81.25%in the control group,and the difference was statistically significant(P<0.05).The levels of SaO_(2) and PaO_(2) in the observation group were higher than those in the control group,the level of PaCO_(2) was lower than that in the control group,and the differences were statistically significant(P<0.05).The hospitalization time,the ventilation improvement time,the ICU stay time,and the ventilator use time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 4.17%,lower than 16.67% in the control group,and the difference was statistically significant(P<0.05).Conclusions:The cluster nursing for the ICU patients with severe pneumonia can improve the expectorant effects,improve the levels of blood gas analysis indicators,promote the prognosis,and reduce the incidence of complications.Moreover,it is superior to the routine nursing.
作者
柳怡
李星宇
张淑梅
LIU Yi;LI Xingyu;ZHANG Shumei(Intensive Care Unit of the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000 Henan,China)
出处
《中国民康医学》
2023年第6期181-183,共3页
Medical Journal of Chinese People’s Health
关键词
集束化护理
排痰效果
重症肺炎
祛痰
血气分析
并发症
Cluster nursing
Sputum excretion effect
Severe pneumonia
Expectorant
Blood gas analysis
Complication
