摘要
目的探讨全方位精细化护理模式在老年重症肺炎患者的应用效果。方法选取2017年3月—2019年4月湖北省洪湖市中医医院收治的94例老年重症肺炎患者作为研究对象,按照随机数字表方法分为常规组(47例)与精细组(47例)。常规组实施常规护理,精细组采取全方位精细化护理模式。比较两组住院期间的病死率、机械通气时间及住院时间,并比较入院时及出院当天心理状态变化,比较住院期的并发症发生情况。结果常规组病死率(14.89%)与精细组(6.38%)比较,差异无统计学意义(P>0.05);精细组的机械通气时间[(7.58±1.52)d]与住院时间[(21.35±3.14)d]短于常规组[(10.69±2.26)、(27.95±4.06)d],差异均有统计学意义(P<0.05)。精细组出院当天焦虑自评量表(SAS)评分为(45.62±4.91)分,抑郁自评量表(SDS)评分为(46.89±5.03)分,低于常规组的(50.84±4.72)、(52.07±5.36)分,差异均有统计学意义(P<0.05)。两组出院当天的SAS、SDS评分低于入院时,差异有统计学意义(P<0.05)。精细组住院期的并发症总发生率(8.51%)低于常规组(27.66%),差异有统计学意义(P<0.05)。结论对老年重症肺炎患者采用全方位精细化护理模式,可明显缩短患者机械通气与住院时间,改善心理状态,并可减少并发症发生,应用效果良好。
Objective To explore the application effect of all-round fine nursing model in elderly patients with severe pneumonia.Methods A total of 94 elderly patients with severe pneumonia admitted in Honghu Hospital of Traditional Chinese Medicine in Hubei Province from March 2017 to April 2019 were selected as the research objects,and they were divided into the routine group(47 cases)and the fine group(47 cases)according to the random number table method.The routine nursing was carried out in routine group,while the all-round fine nursing mode was adopted in the fine group.The mortality during hospitalization,duration of mechanical ventilation and length of hospital stay were compared,and the changes of mental state at admission and on the day of discharge were compared,then the complications during hospitalization was also compared.Results There was no significant difference in mortality between the routine group(14.89%)and the fine group(6.38%)(P>0.05).The time of mechanical ventilation were(7.58±1.52)and hospitalization(21.35±3.14)d in the fine group shorter than those in the routine group of(10.69±2.26)and(27.95±4.06)d respectively,and the differences were statistically significant(P<0.05).The scores of self-rating anxiety scale(SAS)was(45.62±4.91)score and self-rating depression scale(SDS)was(46.89±5.03)score on the day of discharge in the fine group were lower than those in the routine group of(50.84±4.72)and(52.07±5.36)score respectively,and the differences were statistically significant(P<0.05).The SAS and SDS scores of the two groups on the day of discharge were lower than those at admission,and the differences were statistically significant(P<0.05).The total incidence rate of complications in the fine group(8.51%)was lower than that of the routine group(27.66%),and the difference was statistically significant(P<0.05).Conclusion The all-round fine nursing mode for elderly patients with severe pneumonia can significantly shorten the time of mechanical ventilation and hospitalization,improve the psychological state and reduce the occurrence of complications,with good application effect.
作者
卢红
LU Hong(Department of Critical Care Medicine.Honghu Hospital of Traditional Chinese Medicine,Hubei Province,Honghu433200,China)
出处
《中国当代医药》
CAS
2021年第20期262-265,共4页
China Modern Medicine
关键词
全方位精细化护理
老年
重症肺炎
机械通气时间
并发症
All-round fine nursing
Elderly
Severe pneumonia
Mechanical ventilation time
Complications
作者简介
卢红(1979-),女,汉族,湖北洪湖人,研究方向:重症护理。
