摘要
目的 评价在重症肺炎机械通气患者中开展早期康复护理的应用效果。方法 随机选取2023年9月至2025年9月期间我院接收的重症肺炎机械通气患者80例,采取随机数字表法分成两组开展护理研究,组别为观察组与对照组,每组各有40例,对照组给予常规护理,观察组采取早期康复护理,将两组护理结果进行对比。结果 护理后观察组的依从性评分高于对照组,呼吸机相关性肺炎发生率低于对照组,机械通气时间短于对照组,最终患者肺功能改善效果优于对照组,生活质量评分高于对照组,(P<0.05)。结论 对重症肺炎机械通气患者开展早期康复护理干预,可有效提升临床护理质量和患者的依从性,减少呼吸机相关肺炎发生,缩短患者机械通气时间,改善患者的肺功能以及生活质量。
关键词: 重症肺炎;机械通气;早期康复护理;效果评价
Abstract
Objective To evaluate the application effect of early rehabilitation nursing in patients with severe pneumonia undergoing mechanical ventilation. Methods A total of 80 patients with severe pneumonia who received mechanical ventilation in our hospital from September 2023 to September 2025 were randomly selected and divided into two groups by random number table method for nursing research. The groups were the observation group and the control group, with 40 cases in each group. The control group was given routine care, while the observation group received early rehabilitation care. The nursing results of the two groups were compared. Results After the nursing care, the compliance score of the observation group was higher than that of the control group, the incidence of ventilator-associated pneumonia was lower than that of the control group, the mechanical ventilation time was shorter than that of the control group, and the final improvement effect of lung function of the patients was better than that of the control group, and the quality of life score was higher than that of the control group (P < 0.05). Conclusion Early rehabilitation nursing intervention for patients with severe pneumonia undergoing mechanical ventilation can effectively enhance the quality of clinical nursing and patients' compliance, reduce the occurrence of ventilator-associated pneumonia, shorten the duration of mechanical ventilation for patients, and improve their lung function and quality of life.
Key words: Severe pneumonia; Mechanical ventilation; Early rehabilitation nursing; Effect evaluation
参考文献 References
[1] 徐妮妮.基于eCASH理念的早期康复护理在重症肺炎机械通气患者中的应用[J].实用中西医结合临床,2025, 25(1):116-120.
[2] 张必争, 邵小燕, 潘国霞.早期康复护理在重症肺炎机械通气患者中的应用效果[J].中西医结合护理(中英文), 2022, 8(8):178-180.
[3] 陈玲娜.早期康复护理对ICU重症肺炎机械通气患者预后情况的影响[J].中国医药指南,2024,22(20):179-181.
[4] 于瑶.早期康复护理在重症肺炎机械通气患者中的作用[J].临床护理研究,2023,32(22):25-27.
[5] 权红丽.早期康复护理在重症肺炎机械通气患者中的效果研究[J].当代护理,2023,4(12):15-16.
[6] 刘娟,徐培,任芳慧,等.基于信息化早期预警评分系统的早期康复护理在ICU重症肺炎机械通气患者中的应用[J].当代护士(中旬刊),2022,29(7):80-83.
[7] 王芳芳.基于eCASH理念的早期康复护理在ICU重症肺炎机械通气患者中的应用[J].国际护理学杂志,2022, 41(20):3787-3790.
[8] 宋雪娇.早期康复护理对ICU重症肺炎机械通气患者预后情况的影响[J].临床护理进展,2025,4(1):18-19.
[9] 崔雯,马楠楠.早期肺康复训练对重症肺炎机械通气患者的效果[J].中国医学创新,2023,20(11):86-90.
[10] 苏宁,杨春萍,欧阳孔兵,等.早期康复护理对重症肺炎机械通气患者脱机成功率的影响[J]. 医药前沿,2023, 13(32): 81-83.