蛇志2024,Vol.36Issue(3) :311-314.DOI:10.3969/j.issn.1001-5639.2024.03.013

振动排痰法联合预防性护理对ICU重症肺炎患者的护理效果分析

Analysis of nursing effect of vibration expectoration combined with preventive nursing on ICU patients with severe pneumonia

张丽华 黄绍晶 张晓芹
蛇志2024,Vol.36Issue(3) :311-314.DOI:10.3969/j.issn.1001-5639.2024.03.013

振动排痰法联合预防性护理对ICU重症肺炎患者的护理效果分析

Analysis of nursing effect of vibration expectoration combined with preventive nursing on ICU patients with severe pneumonia

张丽华 1黄绍晶 1张晓芹1
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作者信息

  • 1. 福建省南平市第一医院重症医学科,福建南平 353000
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摘要

目的 探讨振动排痰法联合预防性护理干预对重症监护室(ICU)重症肺炎患者的护理效果.方法 选取2021年4月至2023年4月我院ICU收治的重症肺炎患者92例,采取随机数字表法分为对照组和观察组,每组46例.对照组给予常规护理,观察组给予预防性护理+振动排痰.观察比较两组患者的日排痰量、机械通气时间、住ICU时间及并发症发生情况,并评估睡眠质量和舒适度.结果 干预期间,观察组的日排痰量高于对照组,差异有统计学意义(P<0.05).观察组患者的机械通气时间、住ICU时间明显短于对照组,差异均有统计学意义(均P<0.05).观察组的并发症发生率为4.35%低于对照组的17.39%,差异有统计学意义(P<0.05).干预1周后,观察组的匹兹堡睡眠质量指数(PSQI)各项评分及总评分均低于对照组,差异均有统计学意义(均P<0.05).观察组的舒适度为95.65%高于对照组的80.43%,差异具有统计学意义(P<0.05).结论 振动排痰法联合预防性护理可提高ICU重症肺炎患者的排痰量,缩短机械通气时间,减少并发症发生率,提高了患者的睡眠质量及舒适度,促进患者康复.

Abstract

Objective To investigate the nursing effect of vibration expectoration combined with preventive nursing intervention on severe pneumonia patients admitted to ICU.Methods A total of 92 patients with severe pneumonia admitted to ICU of our hospital from April 2021 to April 2023 were divided into 2 groups by random number table method.The control group(n=46)was given rou-tine nursing,and the observation group(n=46)was given predictive nursing+vibration expectoration.Daily sputum output,mechani-cal ventilation time,ICU stay time were recorded.Sleep quality and comfort were assessed and complications observed.Results Dur-ing the intervention period,the daily sputum output in the observation group was higher than that in the control group(P<0.05).The comparison of mechanical ventilation time and ICU time showed that observation group was shorter than control group(P<0.05).The total incidence of complications in the observation group was 4.35%lower than that in the control group 17.39%(P<0.05).After one week of intervention,PSQI score in observation group was lower than that in control group(P<0.05).Comfort level was 95.65%higher in observation group than 80.43%in control group(P<0.05).Conclusion Vibration expectoration combined with predic-tive nursing in ICU patients with severe pneumonia can effectively expectorate,promote recovery,facilitate early extubation,improve pa-tients'sleep quality and comfort,and reduce the incidence of complications.

关键词

重症监护室/重症肺炎/振动排痰法/预防性护理干预/护理效果

Key words

Intensive care unit/Severe pneumonia/Vibration expectoration method/Predictive nursing intervention/Nursing effect

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出版年

2024
蛇志
中国蛇协

蛇志

影响因子:0.439
ISSN:1001-5639
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