摘要
目的探讨慢性肺源性心脏病患者在临床中采用个性化护理模式治疗效果。方法选取2016年6月~2017年11月80例在本院呼吸内科住院治疗的慢性肺源性心脏病患者为研究对象,将其随机分为个性化护理模式组和常规护理组,每组各40例。常规护理组采用常规的护理干预模式,个性化护理模式组在进行常规护理模式的基础上实施个性化护理干预措施。比较2组患者在不同模式治疗前后的心率(HR)、呼吸频率(RR)、肺活量(VC)、第1秒用力呼气量(FEV1)、血氧饱和度、血氧分压(PaO_2)、脑钠肽(BNP)及其临床效果。结果在采取不同方式的护理模式后,2组患者的HR、RR、BNP较护理前均有明显降低,但个性化护理模式组降低程度更明显,2种护理模式对比,差异有统计学意义(P <0. 05)。护理后,2组VC、FEV1、血氧饱和度、PaO_2较护理前均有明显升高,个性化护理模式组升高程度更大(P <0. 05)。个性化护理模式组有效率明显高于常规护理组,差异有统计学意义(P <0. 05);采用个性化护理模式组的住院天数较常规护理组减少,差异有统计学意义(P <0. 05)。结论个性化护理模式干预应用于慢性肺源性心脏病患者,能有效改善患者的心、肺功能,提高临床疗效,缩短患者的住院时间。
Objective To explore the effect of personalized nursing mode on the clinical treatment of pulmonary heart disease patients. Methods A total of 80 patients with pulmonary heart disease who were hospitalized in the respiratory department of our hospital from June 2016 to November 2017 were randomly divided into individualized nursing groups and routine nursing groups,each with 40 cases. The routine nursing intervention model was adopted. The individual nursing group implemented personalized nursing intervention at the same time. Compare the heart rate( HR),respiration rate( RR),lung volume( VC),1 second hard expiratory volume( FEV1),blood oxygen saturation,PaO_2,and cerebral natriuretic peptide( BNP) and clinical efficacy of the two groups. Results After nursing,the two groups of HR,RR and BNP were significantly reduced compared with the previous nursing,but the degree of reduction was more obvious in the individualized care group,and the difference was statistically significant( P < 0. 05). The two groups of VC,FEV1,blood oxygen saturation and PaO_2 were significantly higher than before nursing,but the increase of the individualized nursing group was greater( P < 0. 05). The effectiveness of the individualized nursing group was significantly higher than that of the conventional nursing group,and the difference was statistically significant( P < 0. 05). The number of hospitalization days was significantly reduced compared with the routine nursing group,and the difference was statistically significant( P < 0. 05). Conclusion The individualized nursing intervention is applied to the patients with pulmonary heart disease,which can improve the cardiopulmonary function,improve the clinical effect,and shorten the patient's hospital stay.
引文
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