中西医结合护理对重症肺炎的干预效果
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摘要
目的:观察中西医结合护理对重症肺炎的干预效果。方法:将80例患者随机分为观察组、对照组各40例。对照组给予常规护理干预,观察组给予中西医结合护理干预,比较2组护理满意率、肺部感染控制时间、退热时间、呼吸功能、血气指标。结果:护理满意度观察组为92.5%,对照组为87.5%,2组比较差异有统计学意义(P<0.05);2组肺部感染控制时间、退热时间比较,差异有统计学意义(P<0.05)。呼吸功能、血气指标干预前后2组组内比较,差异有统计学意义(P<0.05);干预后2组组间比较差异也有统计学意义(P<0.05)。结论:中西医结合护理干预有助于提高重症肺炎患者的护理满意率,改善呼吸功能和血气指标,缩短肺部感染控制时间、退热时间。
Objective: To observe the intervention effects of integrative medicine nursing on severe pneumonia(SP). Methods: Eighty patients were randomly allocated to the observation group and the control group, 40 cases each group, the control group adopted conventional nursing intervention, and the observation group integrative medicine nursing, to compare nursing satisfactory degree, respiratory function, blood gas indexes, controlling time of pulmonary infection, the time of bringing down the fever and others. Results: Nursing satisfactory degree of the observation group was 92.5%, higher than 87.5% of the control group, and the difference was statistically significant(P<0.05); the difference had statistical meaning in the controlling time of pulmonary infection and the time of bringing down the fever between both groups(P<0.05). There was a significant difference in respiratory function and blood gas indexes within two groups before and after intervention(P<0.05); the difference was statistically significant in the comparisons between both groups after the intervention(P <0.05). Conclusion: Integrative medicine nursing is helpful to lift nursing satisfactory degree of the patients, improve respiratory function and blood gas indexes, shorten the controlling time of pulmonary infection and the time of bringing down the fever.
Objective: To observe the intervention effects of integrative medicine nursing on severe pneumonia(SP). Methods: Eighty patients were randomly allocated to the observation group and the control group, 40 cases each group, the control group adopted conventional nursing intervention, and the observation group integrative medicine nursing, to compare nursing satisfactory degree, respiratory function, blood gas indexes, controlling time of pulmonary infection, the time of bringing down the fever and others. Results: Nursing satisfactory degree of the observation group was 92.5%, higher than 87.5% of the control group, and the difference was statistically significant(P<0.05); the difference had statistical meaning in the controlling time of pulmonary infection and the time of bringing down the fever between both groups(P<0.05). There was a significant difference in respiratory function and blood gas indexes within two groups before and after intervention(P<0.05); the difference was statistically significant in the comparisons between both groups after the intervention(P <0.05). Conclusion: Integrative medicine nursing is helpful to lift nursing satisfactory degree of the patients, improve respiratory function and blood gas indexes, shorten the controlling time of pulmonary infection and the time of bringing down the fever.
引文
[1]陈熙.优化个体护理对ICU重症肺炎患者APACHEⅡ评分及相关生理指标的影响[J].实用临床医药杂志,2016,20(16):28-30.
[2]韩英.护理干预对老年重症肺炎并发呼吸机相关性肺炎的效果观察研究[J].当代护士(上旬刊),2017,25(10):36-38.
[3]朱勇.滋补肺肾法在老年性肺炎患者中的应用[J].西部中医药,2015,27(5):100-102.
[5]张效真.护理层级管理对重症肺炎患者预后及护理质量的影响[J].当代护士(下旬刊),2016,24(6):173-175.
[6]秦盼盼.综合护理预防颅脑损伤机械通气患者呼吸机相关性肺炎的应用效果[J].实用临床护理学电子杂志,2017,2(36):95-97.
[7]李颖,许文,戈伟,等.综合干预措施对ICU医务人员呼吸机集束化策略执行率与呼吸机相关肺炎发病率的影响[J].中华医院感染学杂志,2017,27(8):1751-1753.
[8]罗利明.优质护理在重症监护病房呼吸机相关性肺炎患者中的应用价值研究[J].实用临床护理学电子杂志,2017,2(32):158-160.
[9]张金蓉,崔吉宏.在重症肺炎致呼吸衰竭抢救中无创呼吸机辅助呼吸的护理应用[J].实用临床医药杂志,2017,21(6):25-29.
[10]李丹.综合护理干预用于重症监护室机械通气相关性肺炎的临床分析[J].实用临床护理学电子杂志,2017,2(28):141-143.
[11]王冉然,张伟.从仲景“阳病见阴脉者死”探讨老年性肺炎的中医证侯学特点[J].西部中医药,2016,29(11):47-49.
[12]熊维,廖浩,吴颖,等.软毛牙刷刷牙预防重症监护室老年患者呼吸机相关肺炎的效果研究[J].西北国防医学杂志,2017,38(6):390-392.
[13]周娟.老年重症肺炎并发呼吸机相关性肺炎的综合护理措施及效果研究[J].世界最新医学信息文摘,2017,17(34):248-252.
[14]赵晓明.清肺化痰汤对社区获得性肺炎血清炎性因子及氧化应激水平的影响[J].西部中医药,2017,30(6):75-77.
[15]陈熙.优化个体护理对ICU重症肺炎患者APACHEⅡ评分及相关生理指标的影响[J].实用临床医药杂志,2016,20(16):28-30.
[16]王李军,虞崇娜,李贞,等.系统化护理干预在重症肺炎患者护理中的应用效果[J].中国基层医药,2016,23(20):3049-3052.
[17]宁红梅.综合护理干预对老年重症肺炎患者的护理效果评价[J].国外医学:医学地理分册,2017,38(1):80-82.
[18]蔡云杰.专病专护用于老年重症肺炎护理中的效果评价[J].中国医药指南,2017,15(18):200-201.
[19]张永红.综合护理干预预防重症监护室机械通气相关性肺炎的临床应用价值[J].河南医学研究,2017,26(4):738-739.
[20]韩英.护理干预对老年重症肺炎并发呼吸机相关性肺炎的效果观察研究[J].实用临床护理学电子杂志,2017,2(19):75-78.
[21]赵兴峰.宣白承气汤加减联合西医常规治疗痰热壅肺型重症肺炎的临床疗效及对炎症因子白细胞介素6、超敏C反应蛋白、肿瘤坏死因子α水平的影响[J].河北中医,2018,40(4):558-561.
[22]林桂仪,张莹.千金苇茎汤加味联合西医治疗对接受机械通气的重症肺炎患者呼吸力学、Th17与Treg细胞因子失衡及动脉血气分析指标的影响[J].河北中医,2018,40(4):520-526.
[2]韩英.护理干预对老年重症肺炎并发呼吸机相关性肺炎的效果观察研究[J].当代护士(上旬刊),2017,25(10):36-38.
[3]朱勇.滋补肺肾法在老年性肺炎患者中的应用[J].西部中医药,2015,27(5):100-102.
[5]张效真.护理层级管理对重症肺炎患者预后及护理质量的影响[J].当代护士(下旬刊),2016,24(6):173-175.
[6]秦盼盼.综合护理预防颅脑损伤机械通气患者呼吸机相关性肺炎的应用效果[J].实用临床护理学电子杂志,2017,2(36):95-97.
[7]李颖,许文,戈伟,等.综合干预措施对ICU医务人员呼吸机集束化策略执行率与呼吸机相关肺炎发病率的影响[J].中华医院感染学杂志,2017,27(8):1751-1753.
[8]罗利明.优质护理在重症监护病房呼吸机相关性肺炎患者中的应用价值研究[J].实用临床护理学电子杂志,2017,2(32):158-160.
[9]张金蓉,崔吉宏.在重症肺炎致呼吸衰竭抢救中无创呼吸机辅助呼吸的护理应用[J].实用临床医药杂志,2017,21(6):25-29.
[10]李丹.综合护理干预用于重症监护室机械通气相关性肺炎的临床分析[J].实用临床护理学电子杂志,2017,2(28):141-143.
[11]王冉然,张伟.从仲景“阳病见阴脉者死”探讨老年性肺炎的中医证侯学特点[J].西部中医药,2016,29(11):47-49.
[12]熊维,廖浩,吴颖,等.软毛牙刷刷牙预防重症监护室老年患者呼吸机相关肺炎的效果研究[J].西北国防医学杂志,2017,38(6):390-392.
[13]周娟.老年重症肺炎并发呼吸机相关性肺炎的综合护理措施及效果研究[J].世界最新医学信息文摘,2017,17(34):248-252.
[14]赵晓明.清肺化痰汤对社区获得性肺炎血清炎性因子及氧化应激水平的影响[J].西部中医药,2017,30(6):75-77.
[15]陈熙.优化个体护理对ICU重症肺炎患者APACHEⅡ评分及相关生理指标的影响[J].实用临床医药杂志,2016,20(16):28-30.
[16]王李军,虞崇娜,李贞,等.系统化护理干预在重症肺炎患者护理中的应用效果[J].中国基层医药,2016,23(20):3049-3052.
[17]宁红梅.综合护理干预对老年重症肺炎患者的护理效果评价[J].国外医学:医学地理分册,2017,38(1):80-82.
[18]蔡云杰.专病专护用于老年重症肺炎护理中的效果评价[J].中国医药指南,2017,15(18):200-201.
[19]张永红.综合护理干预预防重症监护室机械通气相关性肺炎的临床应用价值[J].河南医学研究,2017,26(4):738-739.
[20]韩英.护理干预对老年重症肺炎并发呼吸机相关性肺炎的效果观察研究[J].实用临床护理学电子杂志,2017,2(19):75-78.
[21]赵兴峰.宣白承气汤加减联合西医常规治疗痰热壅肺型重症肺炎的临床疗效及对炎症因子白细胞介素6、超敏C反应蛋白、肿瘤坏死因子α水平的影响[J].河北中医,2018,40(4):558-561.
[22]林桂仪,张莹.千金苇茎汤加味联合西医治疗对接受机械通气的重症肺炎患者呼吸力学、Th17与Treg细胞因子失衡及动脉血气分析指标的影响[J].河北中医,2018,40(4):520-526.