延续性护理在呼吸衰竭患者从ICU 转入病房中的应用价值分析
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摘要
目的探究呼吸衰竭患者从重症监护室(ICU)转入普通病房实施延续性护理对肺功能及临床症状的影响。方法研究对象选取2017年5月至2018年5月期间在我院治疗的78例呼吸衰竭患者,按随机数表法分成对照组39例与观察组39例,对照组行常规护理,观察组在此基础上行延续性护理,比较两干预前后肺功能[用力肺活量(FCV)、1s用力呼气容积(FEV1)、1s用力呼气容积与用力肺活量比值(FEV1/FCV)]及干预后症状自评量表(SCL-90)评分、焦虑自评量表(SAS)与抑郁自评量表(SDS)评分。结果相比对照组,观察组干预后FCV、FEV1、FEV1/FCV均较高,差异有统计学意义(P<0.05);相比对照组,观察组干预后SCL-90、SAS、SDS评分均较低,差异有统计学意义(P<0.05)。结论呼吸衰竭患者从ICU转入病房中实施延续性护理可改善患者临床症状,缓解负性情绪,提高肺功能。
Objective To investigate the effects of continuous nursing care on pulmonary function and clinical symptoms of respiratory failure patients from intensive care unit(ICU) to general ward.Methods Seventy-eight patients with respiratory failure who were treated in our hospital from May 2017 to May 2018 were randomly divided into control group(39 cases) and observation group(39 cases). On this basis, continuous nursing was performed in the observation group. Lung function [forced vital capacity(FCV), 1 s forced expiratory volume(FEV1), forced expiratory volume/forced vital capacity ratio(FEV1)]before and after two interventions were compared(P<0.05). FEV1/FCV] and symptom Checklist(SCL-90),(SAS) and(SDS) after intervention.Results Compared with the control group, the FCV,FEV1,FEV1/FCV of the observation group was higher than that of the control group(P<0.05).Compared With the control group,the SCL-90,SAS,SDS score of the observation group was lower than that of the control group(P<0.05).Conclusion Continuous nursing from ICU to ward can improve clinical symptoms and relieve negative emotion in patients with respiratory failure. To improve lung function.
Objective To investigate the effects of continuous nursing care on pulmonary function and clinical symptoms of respiratory failure patients from intensive care unit(ICU) to general ward.Methods Seventy-eight patients with respiratory failure who were treated in our hospital from May 2017 to May 2018 were randomly divided into control group(39 cases) and observation group(39 cases). On this basis, continuous nursing was performed in the observation group. Lung function [forced vital capacity(FCV), 1 s forced expiratory volume(FEV1), forced expiratory volume/forced vital capacity ratio(FEV1)]before and after two interventions were compared(P<0.05). FEV1/FCV] and symptom Checklist(SCL-90),(SAS) and(SDS) after intervention.Results Compared with the control group, the FCV,FEV1,FEV1/FCV of the observation group was higher than that of the control group(P<0.05).Compared With the control group,the SCL-90,SAS,SDS score of the observation group was lower than that of the control group(P<0.05).Conclusion Continuous nursing from ICU to ward can improve clinical symptoms and relieve negative emotion in patients with respiratory failure. To improve lung function.
引文
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[2] 张倩,马红梅,张爽,等.延续性护理的发展现状[J].护理研究,2016,30(9):1 028-1 030.
[3] 中华人民共和国卫生部.慢性阻塞性肺疾病诊断标准[J].国际呼吸杂志,2011,31(1):1-2.
[4] 潘贻瓯.持续式护理对ST段抬高型心肌梗死患者SCL-90、HHI评分及负性效应的影响[J].中国医药导报,2017,14(2):162-165.
[5] 庄一渝,韦秀霞,彭剑英,等.ICU过渡期护理临床实践与研究进展[J].中华护理杂志,2016,51(2):211-215.
[6] 钟婉红,秀娟,张余梅,等.院内延续性护理在ICU呼吸衰竭患者转入病房中的应用[J].海南医学,2017,28(13):2 231-2 232.
[7] 郭爱香,崔雪玲.危重症专职护理在慢性阻塞性肺疾病合并呼吸衰竭患者治疗中的作用[J].中国实用护理杂志,2016,32(31):2 410-2 414.
[8] 王丽珍,罗 ,张鹏.延续性护理模式对老年慢性心力衰竭患者生活质量的影响[J].中国医药导刊,2017,19(12):1 404-1 407.