个性化护理在肺心病患者中的应用
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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.
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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[2]马方.老年肺心病合并呼吸衰竭的护理分析.当代医学,2016,22(7):109-110.
[3]Enright P L.Oxygen desaturation during a 6-min walk identifies a COPD phenotype with an increased risk of morbidity and mortality[J].Eur Respir J,2016,48(1):1-2.
[4]Wischmeyer P E,San-Millan I.Winning the war against ICU-acquired weakness:new innovations in nutrition and exercise physiology[J].critical care,2015,19(3):1-14.
[5]Revitt O,Sewell L,Morgan MD,et al.Short outpatient pulmonary rehabilitation programme reduces readmission following a hospitalization for an exacerbation of chronic obstructive pulmonary disease[J].Respirology,2013,18(7):1063-1068.
[6]袁月霞.肺心病的心理状态分析及护理[J].当代护士(下旬刊),2015,5:105-106.
[7]黄淑群,胡小红,李露.细辛脑注射液联合雾化吸入及心理干预治疗慢性阻塞性肺疾病急性期疗效及对肺功能的影响[J].中国生化药物杂志,2017,37(06):199-201.
[8]吕卓江,吴庭安,张道进,等.肠内营养支持对老年AECO-PD并呼吸衰竭患者的心肺功能及营养免疫状况中的影响[J].中国当代医药,2017,24(20):26-29.
[9]陈年梅.延续性护理对慢性阻塞性肺疾病患者戒烟行为和肺功能康复的影响[J].中西医结合护理(中英文),2016,2(04):60-62.
[10]马莉,韩小年,彭莉蓉.本院慢性阻塞性肺疾病急性加重期患者痰培养的病原菌分布及耐药性分析[J].中国药房,2016,27(8):1058-1061.
[11]陈莉丹,邓润桃,叶琨妮,等.护理指导营养支持治疗对慢性阻塞性肺病预后的影响[J].重庆医学,2017,46(19):2729-2730.
[12]葛淑华,梁伟.重症监护室肺心病患者急性加重期的护理[J].当代护士(中旬刊),2013,5:98-99.