量化评估策略下的渐进性干预在重症肺炎伴呼吸衰竭患者护理中的应用
Application of Progressive Intervention under Quantitative Evaluation Strategy in Nursing Care of Patients with Severe Pneumonia and Respiratory Failure
张文静 1邱如其 1务玉洁1
作者信息
- 1. 河南省人民医院呼吸与危重症医学科三病区,郑州 450003
- 折叠
摘要
目的:探讨量化评估策略下的渐进性干预用于重症肺炎并呼吸衰竭患者临床护理的效果.方法:选取2021 年 1 月至 2023 年 1 月本院收治的 70 例重症肺炎伴呼吸衰竭患者作为研究对象.按照干预方法将其分为观察组(n=35,给予量化评估策略下的渐进性干预)和对照组(n=35,给予渐进性干预),干预从入院持续至出院.比较两组患者干预前、后神经肌功能[采用功能独立性评定量表(FIM)评估]、肌力水平[采用肌力评定量表(MSA)评估]、肺功能及预后情况.结果:干预后,观察组患者FIM、MSA评分以及肺功能指标水平均高于对照组,差异均有统计学意义(P＜0.05).观察组患者预后情况优于对照组,差异有统计学意义(P＜0.05).结论:重症肺炎伴呼吸衰竭患者开展量化评估策略下的渐进性干预,有利于改善患者的神经肌功能、肌力情况及肺功能恢复,能缩短其住院时间,改善患者预后.
Abstract
Objective:To explore the application effect of progressive intervention under quantitative evaluation strategy in the nursing of patients with severe pneumonia and respiratory failure.Methods:A total of 70 patients with severe pneumonia and respiratory failure admitted to our hospital from January 2021 to January 2023 were selected as the research objects.According to intervention methods,they were divided into observation group(n=35,received routine care combined with progressive intervention under quantitative evaluation strategy)and control group(n=35,received routine care combined with progressive intervention).Neuromuscular function[assessed by functional independence measure(FIM)],muscle strength level[assessed by muscle strength assessment form(MSA)],lung function and prognosis were compared between the two groups before and after intervention.Results:After intervention,observation group had higher levels of FIM,MSA scores,and lung function indicators than control group,and the differences were statistically significant(P＜0.05).The prognosis of observation group was better than that of control group,and the difference was statistically significant(P＜0.05).Conclusion:Progressive intervention under quantitative evaluation strategy for patients with severe pneumonia and respiratory failure can improve neuromuscular function,muscle strength,and lung function recovery,shorten hospitalization time,and improve the prognosis of the patients.
关键词
重症肺炎/呼吸衰竭/机械通气/量化评估/渐进性干预Key words
Severe pneumonia/Respiratory failure/Mechanical ventilation/Quantitative evaluation/Progressive intervention引用本文复制引用
出版年
2024
NETL
NSTL
万方数据