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基于临床护理路径的气道护理在重症肺炎患者中的应用效果

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目的:观察基于临床护理路径的气道护理在重症肺炎患者中的应用效果.方法:回顾性分析2020年12月至2022年12月该院收治的69例重症肺炎患者的临床资料,按照护理方法不同将其分为观察组(n=35)和对照组(n=34).对照组给予常规护理,观察组在对照组基础上给予基于临床护理路径的气道护理,比较两组康复指标[机械通气时间、重症监护室(ICU)入住时间、住院时间]水平、护理期间并发症发生率、护理后情绪状态[焦虑自评量表(SAS)]评分、舒适度[Kolcaba舒适状况量表(GCQ)]评分和护理满意度.结果:观察组机械通气时间、ICU入住时间、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为8.57%(3/35),低于对照组的29.41%(10/34),差异有统计学意义(P<0.05);观察组SAS评分低于对照组,GCQ评分高于对照组,差异均有统计学意义(P<0.05);观察组护理满意度为94.29%(33/35),高于对照组的73.53%(25/34),差异有统计学意义(P<0.05).结论:在常规护理基础上采用基于临床护理路径的气道护理可提高重症肺炎患者GCQ评分和护理满意度,缩短康复时间,降低SAS评分和并发症发生率,效果优于单纯常规护理.
Application effects of airway nursing based on clinical nursing pathway in patients with severe pneumonia
Objective:To observe application effects of airway nursing based on clinical nursing pathway in patients with severe pneumonia. Methods:The clinical data of 69 patients with severe pneumonia admitted to this hospital from December 2020 to December 2022 were retrospectively analyzed. According to different nursing methods,they were divided into observation group (n=35) and control group (n=34). The control group was given routine nursing,while the observation group was given the airway nursing based on clinical nursing pathway on the basis of that of the control group. The levels of rehabilitation indexes[mechanical ventilation time,intensive care unit (ICU) stay time,hospitalization time],the incidence of complications during the nursing,the emotional state after the nursing[self-rating anxiety scale (SAS)]score,the comfort after the nursing[Kolcaba comfort questionnaire (GCQ)]score,and the nursing satisfaction were compared between the two groups. Results:The mechanical ventilation time,the ICU stay time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant (P<0.05). The incidence of complications in the observation group was 8.57% (3/35),which was lower than 29.41% (10/34) in the control group,and the difference was statistically significant (P<0.05). After the nursing,the SAS score of the observation group was lower than that of the control group,the GCQ score was higher than that of the control group,and the differences were statistically significant (P<0.05). Further,the nursing satisfaction rate of the observation group was 94.29% (33/35),which was higher than 73.53% (25/34) of the control group,and the difference was statistically significant (P<0.05). Conclusions:On the basis of the routine nursing,the airway nursing based on clinical nursing pathway can improve the GCQ scores and the nursing satisfaction rate of the patients with severe pneumonia,shorten the times of rehabilitation,and reduce the SAS score and the incidence of complications. Moreover,it is superior to simple routine nursing.

Clinical nursing pathwayAirway nursingSevere pneumoniaComfortEmotional stateNursing satisfactionComplication

杨亚磊、吴睿睿

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周口市中医院ICU,河南 周口 466000

临床护理路径 气道护理 重症肺炎 舒适度 情绪状态 护理满意度 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(24)