摘要
目的 探析重症呼吸衰竭患者应用集束化护理的作用效果。方法 随机把2022年1月-2023年12月间收治60例重症呼吸衰竭患者分对照组(n=30,常规护理)与观察组(n=30,集束化护理),比较两组护理结果。结果 观察组肺功能、心率、呼吸频率、VAS评分改善效果优于对照组,并发症发生率低于对照组,舒适度评分高于对照组(P<0.05)。结论 重症呼吸衰竭患者应用集束化护理有助于改善患者肺功能,减轻其消极情绪,稳定各项生理指标,提高患者舒适度,降低并发症,值得推荐。
关键词: 集束化护理;重症呼吸衰竭;肺功能
Abstract
Objective To explore the effect of cluster nursing in patients with severe respiratory failure. Methods From January 2022 to December 2023, 60 patients with severe respiratory failure were randomly divided into control group (n = 30, routine care) and observation group (n = 30, cluster care), and the nursing results of the two groups were compared. Results The improvement of lung function, heart rate, respiratory rate and VAS score in observation group was better than that in control group, the complication rate was lower than that in control group, and the comfort score was higher than that in control group (P < 0.05). Conclusion The application of cluster nursing in patients with severe respiratory failure can improve lung function, reduce negative emotions, stabilize physiological indexes, improve patient comfort, and reduce complications, which is recommended.
Key words: Cluster nursing; Severe respiratory failure; Lung function
参考文献 References
[1] 杨慧,任燕,赵颖.循证策略集束化护理干预对老年重症哮喘合并呼吸衰竭患者呼吸机相关肺炎风险的影响[J].江苏卫生保健,2023,25(06):425-427.
[2] 张婷,王婷婷,李梦影.集束化护理对AECOPD合并呼吸衰竭患者护理舒适度及满意度的影响[J].中外医疗,2023,42(28):142-145.
[3] 岳彩茹.集束化护理对肺心病合并呼吸衰竭患者康复进程的影响[J].保健医学研究与实践,2023,20(02):90-93.
[4] 刘雨濛.集束化护理在重症肺炎并发呼吸功能衰竭患者重症监护中的效果观察[J].临床医药实践,2022,31(11): 859-862.
[5] 张靖威.重症监护室患者实施集束化护理干预的效果观察[J].中国城乡企业卫生,2022,37(09):199-201.
[6] 杨春婷.集束化护理对慢阻肺合并急性呼吸衰竭无创正压通气患者的影响[C]//榆林市医学会.第二届全国医药研究论坛论文集(二).贵州医科大学附属医院,2023:7.
[7] 胡冰,盛华,潘巍巍,等.集束化护理在呼吸衰竭患者无创呼吸机治疗中的应用研究[J].中国医药指南,2022, 20(30): 49-52.
[8] 王慧玲,丁雷.集束化激励式心理干预在重症监护室机械通气清醒患者撤机中的应用[J].心理月刊,2020,15(24): 88-89.
[9] 夏小娟,王莹.集束化护理干预对重症监护室机械通气患者谵妄的影响分析[J].中西医结合心血管病电子杂志,2020,8(32):146.
[10] 刘晶,刘芳.流程化结合集束化护理干预对呼吸衰竭昏迷患者的急诊抢救效果[J].贵州医药,2024,48(01):146-147.