癌症进展2024,Vol.22Issue(22) :2506-2508,2520.DOI:10.11877/j.issn.1672-1535.2024.22.22.18

JBI模式指导的责任制干预在肺癌合并肺部感染患者中的应用

Application of JBI model guided responsibility intervention in patients with lung cancer complicated with pulmonary infection

李艳艳 白玉玲 刘莹莹 冯巧梅 马亚丽
癌症进展2024,Vol.22Issue(22) :2506-2508,2520.DOI:10.11877/j.issn.1672-1535.2024.22.22.18

JBI模式指导的责任制干预在肺癌合并肺部感染患者中的应用

Application of JBI model guided responsibility intervention in patients with lung cancer complicated with pulmonary infection

李艳艳 1白玉玲 1刘莹莹 1冯巧梅 1马亚丽2
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作者信息

  • 1. 郑州大学第一附属医院呼吸重症监护病区,郑州 450052
  • 2. 商丘市第一人民医院肿瘤一科,河南 商丘 476100
  • 折叠

摘要

目的 探讨JBI模式指导的责任制干预在肺癌合并肺部感染患者中的应用效果.方法 将120例肺癌合并肺部感染患者根据干预方式的不同分为对照组59例和观察组61例,对照组采取常规干预,观察组在对照组的基础上加用JBI模式指导的责任制干预.比较两组患者的临床指标、血气指标[动脉血二氧化碳分压(PaCO2)、血氧饱和度(SaO2)、血氧分压(PaO2)]、并发症发生情况及满意度.结果 观察组患者气喘消失时间、咳嗽消失时间、哮鸣音消失时间、重症监护室(ICU)停留时间及住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01).干预后,两组患者SaO2、PaO2水平均升高,PaCO2水平均降低,且观察组患者SaO2、PaO2水平均高于对照组,PaCO2水平低于对照组,差异均有统计学意义(P﹤0.05).观察组患者并发症总发生率低于对照组,总满意度高于对照组,差异均有统计学意义(P﹤0.05).结论 JBI模式指导的责任制干预可促进肺癌合并肺部感染患者恢复,改善血气指标,降低并发症发生风险,提高患者满意度.

Abstract

Objective To investigate the application of JBI model guided responsibility intervention in patients with lung cancer complicated with pulmonary infection.Method A total of 120 patients with lung cancer complicated with pulmonary infection were divided into control group(59 cases)and observation group(61 cases)according to different in-tervention methods.The control group received routine intervention,and the observation group was supplemented with JBI model guided responsibility intervention on the basis of the control group.The clinical indicators,blood gas indica-tors[partial pressure of carbon dioxide in arterial blood(PaCO2),blood oxygen saturation(SaO2),blood partial pressure of oxygen(PaO2)],incidence of complications and satisfaction of the two groups were compared.Result The asthma dis-appearance time,cough disappearance time,wheezing sound disappearance time,intensive care unit(ICU)stay time and hospital stay in observation group were significantly shorter than those in control group,the differences were statistically significant(P<0.01).After the intervention,the levels of SaO2 and PaO2 in both groups were increased,and the levels of PaCO2 were decreased,and the levels of SaO2 and PaO2 in the observation group were higher than those in the control group,and the level of PaCO2 was lower than that in the control group,the differences were statistically significant(P<0.05).The total incidence of complications of observation group was lower than that of control group,and the total satis-faction rate was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion JBI model guided responsibility intervention can promote the recovery of lung cancer patients with pulmonary infection,im-prove blood gas index,reduce the risk of complications,and improve patients'satisfaction.

关键词

肺癌/肺部感染/JBI模式/责任制干预/满意度

Key words

lung cancer/lung infection/JBI model/responsibility intervention/satisfaction

引用本文复制引用

出版年

2024
癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
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