摘要
目的探究将加强护理干预应用于老年重症肺炎患者的效果。方法以徐州市中心医院于2019年12月至2020年11月收治的98例老年重症肺炎患者为研究对象,采用随机数字表法分为2组,每组49例。对照组给予常规护理干预,观察组在其基础上开展加强护理干预。比较2组的血气分析指标、肺功能相关指标、并发症发生率及预后。结果出院前,2组的动脉血二氧化碳分压(PaCO_(2))、动脉血氧分压(PaO_(2))、血氧饱和度(SaO_(2))、最大呼气流量(PEF)和内源性呼气末正压(PEEPi)均优于干预前(P均<0.05);观察组的上述血气分析指标和肺功能指标均比对照组更优(P均<0.05)。观察组的并发症总发生率和病死率与对照组相比均更低,临床症状改善时间及住院时间与对照组相比均更优(P均<0.05)。结论加强护理干预能够改善老年重症肺炎患者的血气分析指标和肺功能,降低并发症发生率,加快恢复速度,预后效果显著。
Objective To explore the effect of enhanced nursing intervention on elderly patients with severe pneumonia.Method A total of 98 elderly patients with severe pneumonia were selected from Xuzhou Central Hospital between December 2019 and November 2020.They were divided into two groups by using a random number table,each with 49 cases.The control group was given routine nursing intervention,while the observation group was additionally given enhanced nursing intervention.The blood gas indicators,pulmonary function related indicators,incidence of complications,and prognosis of the two groups were compared.Results Before discharge,the arterial partial pressure of carbon dioxide(PaCO_(2)),arterial partial pressure of oxygen(PaO_(2)),arterial oxygen saturation(SaO_(2)),maximal expiratory flow(PEF),and intrinsic positive end-expiratory pressure(PEEPi)in the two groups were better than those before intervention(all P<0.05).The above blood gas indicators and pulmonary function indicators in the observation group were better than those in the control group(all P<0.05).The total incidence of complications and fatality rate in the observation group were lower than those in the control group,and the time of clinical symptom improvement and hospital stay were better than those in the control group(all P<0.05).Conclusion Enhanced nursing intervention can improve the blood gas indicators and pulmonary function of elderly patients with severe pneumonia,reduce the incidence of complications,and accelerate the recovery,which has a significant prognostic impact.
作者
黄淑琴
王峥
秦素娟
王慧
HUANG Shuqin;WANG Zheng;QIN Sujuan;WANG Hui(Xuzhou Central Hospital,Xuzhou,Jiangsu,221009,China)
出处
《中西医结合护理（中英文）》
2023年第2期1-4,共4页
Journal of Clinical Nursing in Practice
关键词
重症肺炎
老年
加强护理干预
预后
severe pneumonia
elderly
enhanced nursing intervention
prognosis
