首页|综合护理对重症肺炎合并急性呼吸窘迫综合征患者生活质量、俯卧位机械通气功能及压力性损伤发生率的影响

综合护理对重症肺炎合并急性呼吸窘迫综合征患者生活质量、俯卧位机械通气功能及压力性损伤发生率的影响

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目的 探讨综合护理对重症肺炎(severe pneumonia,SP)合并急性呼吸窘迫综合征(acute respiratory dis-tress syndrome,ARDS)患者生活质量、俯卧位机械通气功能及压力性损伤发生率的影响.方法 方便选取2022年10月—2023年10月广西防城港市第一人民医院重症监护病房收治的98例SP-ARDS患者为研究对象,根据护理模式的不同,分为观察组(n=49)和对照组(n=49).观察组给予综合护理,对照组给予常规护理,对比两组患者的肺通气功能指标、生活质量评分、不良反应发生情况.结果 两组患者肺通气功能指标比较,护理后最大通气量、肺活量、第1秒用力呼气容积指标水平均高于护理前,且观察组高于对照组,差异有统计学意义(P均<0.05).观察组护理后生活质量评价量表评分高于对照组,差异有统计学意义(P<0.05).观察组并发症发生率为4.08%(2/49),低于对照组的18.37%(9/49),差异有统计学意义(χ2=5.018,P<0.05).结论 针对SP-ARDS患者开展综合护理可以提高术后生活质量,减少压力性损伤的发生,可为临床提供参考.
Effect of Comprehensive Nursing on the Quality of Life,Prone Mechanical Ventilation Function,and Incidence of Pressure Injury in Patients with Se-vere Pneumonia Complicated with Acute Respiratory Distress Syndrome
Objective To explore the effects of comprehensive nursing on the quality of life,prone mechanical ventila-tion function,and incidence of pressure injury in patients with severe pneumonia(SP)complicated with acute respira-tory distress syndrome(ARDS).Methods A total of 98 patients with SP-ARDS admitted to the intensive care unit of Fangchenggang First People's Hospital from October 2022 to October 2023 were conveniently selected as the research objects.According to the different nursing modes,they were divided into observation group(n=49)and control group(n=49).The observation group was given comprehensive nursing,and the control group was given routine nursing.The pulmonary ventilation function indexes,quality of life scores and adverse reactions were compared between the two groups.Results Compared with the pulmonary ventilation function indexes of the two groups,the levels of maximum ventilation volume,vital capacity and forced expiratory volume in the first second after nursing were higher than those before nursing,and the observation group was higher than the control group,the differences were statistically significant(all P<0.05).The quality of life evaluation scale score of the observation group after nursing was higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the ob-servation group 4.08%(2/49)was lower than that in the control group 18.37%(9/49),and the difference was statisti-cally significant(χ2=5.018,P<0.05).Conclusion Comprehensive nursing for SP-ARDS patients can improve postopera-tive quality of life,reduce the occurrence of pressure injuries,and provide reference for clinical practice.

Severe pneumoniaAcute respiratory distress syndromeComprehensive nursingProne position ventilationPressure injury

邓艳月

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广西防城港市第一人民医院重症医学科,广西 防城港 538021

重症肺炎 急性呼吸窘迫综合征 综合护理 俯卧位通气 压力性损伤

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(22)