Study on the effect of early rehabilitation nursing in patients with severe pneumoniaundergoing mechanical ventilation
早期康复护理在重症肺炎机械通气患者中的效果研究

摘要

目的 本文主要对早期康复护理在重症肺炎机械通气患者中的效果展开简要分析与探讨。方法 选取2021年6月-2023年2月入我院开展重症肺炎机械通气患者的60例患者作为本次探讨的主要研究对象，根据随机数字选取法将60例重症肺炎机械通气患者进行分组，共计分为2组，每组各30例，其中对对照组患者开展常规护理，对观察组患者在常规护理工作基础之上进行早期康复护理，通过对比两组患者住院各项指标情况及肺部功能情况，完成最终早期康复护理在重症肺炎机械通气患者中的效果探究。结果 对比两组患者住院各项指标情况，观察组患者住院时间、吸痰次数及气管留置时间均明显短于对照组患者住院时间、吸痰次数及气管留置时间，差异具有统计学意义（P＜0.05）；对比两组患者肺部功能情况，两组患者出院时肺活量、最大呼气量及呼气流量峰值均明显高于入院时，且观察组患者出院时肺活量、最大呼气量及呼气流量峰值明显高于对照组，差异具有统计学意义（P＜0.05）。结论 在对重症肺炎患者开展治疗过程中，治疗方式并不能完全医治患者，还应结合高质量护理工作共同治疗，将常规护理方式摒弃，应用早期康复护理，可改善患者肺功能情况，提高肺活量、最大呼气量及呼气流量峰值，减短住院时间、吸痰次数及气管留置时间，消除患者治疗期间负面情绪，为治疗及恢复提供帮助，护理效果较为明显，应大大推广应用至临床上。

Abstract

Objective This article mainly analyzes and explores the effectiveness of early rehabilitation nursing in patients with severe pneumonia undergoing mechanical ventilation.
Methods Sixty patients with severe pneumonia undergoing mechanical ventilation admitted to our hospital from June 2021 to February 2023 were selected as the main research subjects for this study. Sixty patients with severe pneumonia undergoing mechanical ventilation were randomly divided into two groups, with 30 patients in each group. The control group received routine care, while the observation group received early rehabilitation care based on routine care. By comparing the hospitalization indicators and lung function of two groups of patients, we aim to explore the effectiveness of early rehabilitation nursing in patients with severe pneumonia undergoing mechanical ventilation.
Results Comparing the various indicators of hospitalization between the two groups of patients, the observation group showed significantly shorter hospital stay, sputum suction frequency, and tracheal retention time compared to the control group, with statistically significant differences (P<0.05); Comparing the lung function of the two groups of patients, the lung capacity, maximum expiratory volume, and peak expiratory flow of the two groups of patients were significantly higher at discharge than at admission, and the observation group of patients had significantly higher lung capacity, maximum expiratory volume, and peak expiratory flow at discharge than the control group, with statistical significance (P<0.05).
Conclusion   In the treatment process of severe pneumonia patients, the treatment method can not completely treat the patient. It should also be combined with high-quality nursing work to treat them together, abandoning conventional nursing methods, and applying early rehabilitation nursing can improve the patient's lung function, increase lung capacity, maximum expiratory volume, and peak expiratory flow, reduce hospitalization time, sputum suction frequency, and tracheal retention time, and eliminate negative emotions during the treatment period, To provide assistance for treatment and recovery, the nursing effect is relatively obvious and should be greatly promoted and applied in clinical practice.