个体化护理对ICU重症肺炎患者预后与生活质量的影响
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摘要
目的分析个体化护理对ICU重症肺炎患者预后效果与生活质量的影响。方法选择2017年11月—2018年11月我院收治的90例ICU重症肺炎患者,随机分成观察组与对照组,各组45例。对照组接受常规护理,观察组实施个性化护理,对比两组护理效果。结果两组患者护理干预后的生活质量评分均有明显升高,与护理前差异显著(P <0.05);而观察组生活质量评分显示优于对照组,差异有统计学意义(P <0.05)。对比两组护理前的APACHEⅡ评分,差异无统计学意义(P> 0.05),护理后观察组的APACHEⅡ低于对照组,差异具有统计学意义(P <0.05)。结论向ICU重症肺炎患者提供个体化护理,可以有效控制病情,改善患者生活质量和预后效果,促进患者尽早康复。
Objective To analyze the effect of individualized nursing on the improvement of physiological indexes and prognosis of patients with severe pneumonia in ICU. Methods Ninety ICU patients with severe pneumonia admitted to our hospital from November 2017 to November 2018 were randomly divided into observation group and control group, 45 cases in each group. The control group received routine nursing, while the observation group received individualized nursing. The nursing effects of the two groups were compared. Results After nursing intervention, the scores of quality of life in the two groups were significantly higher than those before nursing(P < 0.05), while the scores of quality of life in the observation group were better than those in the control group(P < 0.05). There was no significant difference in APACHE Ⅱ score between the two groups before nursing(P > 0.05). After nursing, the APACHE Ⅱ score of the observation group was lower than that of the control group, and the difference was statistically significant(P< 0.05). Conclusion Providing individualized nursing to patients with severe pneumonia in ICU can effectively control their condition,improve their quality of life and prognosis, and promote their early recovery. It is worth popularizing and applying.
Objective To analyze the effect of individualized nursing on the improvement of physiological indexes and prognosis of patients with severe pneumonia in ICU. Methods Ninety ICU patients with severe pneumonia admitted to our hospital from November 2017 to November 2018 were randomly divided into observation group and control group, 45 cases in each group. The control group received routine nursing, while the observation group received individualized nursing. The nursing effects of the two groups were compared. Results After nursing intervention, the scores of quality of life in the two groups were significantly higher than those before nursing(P < 0.05), while the scores of quality of life in the observation group were better than those in the control group(P < 0.05). There was no significant difference in APACHE Ⅱ score between the two groups before nursing(P > 0.05). After nursing, the APACHE Ⅱ score of the observation group was lower than that of the control group, and the difference was statistically significant(P< 0.05). Conclusion Providing individualized nursing to patients with severe pneumonia in ICU can effectively control their condition,improve their quality of life and prognosis, and promote their early recovery. It is worth popularizing and applying.
引文
[1]詹杨.ICU重症肺炎患者应用个体化护理对改善生理指标及预后的影响探讨[J].世界最新医学信息文摘,2018,18(95):247,252.
[2]张家慧,马红燕,朱春雨.个体化护理对ICU重症肺炎患者病情及转归的影响[J].现代医药卫生,2018,34(16):2571-2573.
[3]崔冰.ICU重症肺炎患者应用个体化护理对改善生理指标及预后的影响探讨[J].智慧健康,2018,4(20):145-146.
[4]李俊蕾.个体化护理服务改善I C U重症肺炎患者血乳酸、APACHEⅡ评分及预后的临床观察[J].医学理论与实践,2018,31(11):1683-1685.
[5]王瑶.个体化护理对ICU重症肺炎患者生理指标改善和预后效果的影响[J].实用临床护理学电子杂志,2017,2(1):38,42.
[6]任丽娟.个体化护理干预对重症肺炎患者生理指标及生活质量的影响[J].中国保健营养,2016,26(1):250-251.
[7]周小清,林瑛,林巧凤.分析气道物理护理干预在重症肺炎治疗中的临床意义[J].临床合理用药杂志,2017,10(23):113-114.
[8]雷娟,范光伟,申雪莹.层级护理模式对提高护理人员技能与ICU重症肺炎患者的临床效果研究[J].西部医学,2016,28(7):1025-1029.
[9]易先齐,丁玲.血必净注射液用于ICU重症肺炎的疗效观察[J].中国医院用药评价与分析,2017,17(6):755-757.
[10]庞璐,吴霞云,卢俊梅等.ICU特殊护理联合氧驱动雾化吸入对重症肺炎患者炎症因子的影响[J].中华全科医学,2017,15(12):2176-2178.
[11]周华.层级护理模式应用于ICU重症肺炎患者护理价值评价[J].中西医结合心血管病电子杂志,2017,5(18):64.
[12]周西.个体化护理干预对重症肺炎患者生活质量及护理满意度的影响[J].中国继续医学教育,2016,8(30):223-224.
[2]张家慧,马红燕,朱春雨.个体化护理对ICU重症肺炎患者病情及转归的影响[J].现代医药卫生,2018,34(16):2571-2573.
[3]崔冰.ICU重症肺炎患者应用个体化护理对改善生理指标及预后的影响探讨[J].智慧健康,2018,4(20):145-146.
[4]李俊蕾.个体化护理服务改善I C U重症肺炎患者血乳酸、APACHEⅡ评分及预后的临床观察[J].医学理论与实践,2018,31(11):1683-1685.
[5]王瑶.个体化护理对ICU重症肺炎患者生理指标改善和预后效果的影响[J].实用临床护理学电子杂志,2017,2(1):38,42.
[6]任丽娟.个体化护理干预对重症肺炎患者生理指标及生活质量的影响[J].中国保健营养,2016,26(1):250-251.
[7]周小清,林瑛,林巧凤.分析气道物理护理干预在重症肺炎治疗中的临床意义[J].临床合理用药杂志,2017,10(23):113-114.
[8]雷娟,范光伟,申雪莹.层级护理模式对提高护理人员技能与ICU重症肺炎患者的临床效果研究[J].西部医学,2016,28(7):1025-1029.
[9]易先齐,丁玲.血必净注射液用于ICU重症肺炎的疗效观察[J].中国医院用药评价与分析,2017,17(6):755-757.
[10]庞璐,吴霞云,卢俊梅等.ICU特殊护理联合氧驱动雾化吸入对重症肺炎患者炎症因子的影响[J].中华全科医学,2017,15(12):2176-2178.
[11]周华.层级护理模式应用于ICU重症肺炎患者护理价值评价[J].中西医结合心血管病电子杂志,2017,5(18):64.
[12]周西.个体化护理干预对重症肺炎患者生活质量及护理满意度的影响[J].中国继续医学教育,2016,8(30):223-224.