[1]雷 婷.基于护理程序的整体护理联合转变体位干预对重症肺炎患者排痰情况及舒适度的影响[J].医学信息,2025,38(14):157-161.[doi:10.3969/j.issn.1006-1959.2025.14.032]
　LEI Ting.Effect of Holistic Nursing Based on Nursing Procedure Combined with Posture Change Interventionon Expectoration and Comfort of Patients with Severe Pneumonia[J].Journal of Medical Information,2025,38(14):157-161.[doi:10.3969/j.issn.1006-1959.2025.14.032]
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基于护理程序的整体护理联合转变体位干预对重症肺炎患者排痰情况及舒适度的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
38卷
期数:
2025年14期
页码:
157-161
栏目:
护理研究
出版日期:
2025-07-15

文章信息/Info

Title:
Effect of Holistic Nursing Based on Nursing Procedure Combined with Posture Change Interventionon Expectoration and Comfort of Patients with Severe Pneumonia
文章编号:
1006-1959（2025）14-0157-05
作者:
雷 婷
九江学院附属医院老年医学科，江西 九江 332000
Author(s):
LEI Ting
Department of Geriatrics, Affiliated Hospital of Jiujiang University, Jiujiang 332000, Jiangxi, China
关键词:
护理程序; 整体护理; 转变体位干预; 重症肺炎; 舒适度
Keywords:
Nursing procedure;  Holistic nursing;  Posture change intervention;  Severe pneumonia;  Comfort degree
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2025.14.032
文献标志码:
A
摘要:
目的 观察基于护理程序的整体护理结合转变体位干预在重症肺炎中的应用效果，探究其对患者排痰情况及舒适度的影响。方法 选取九江学院附属医院2022年12月-2023年12月诊治的重症肺炎患者74例为研究对象，将患者按随机数字表法分为对照组（37例）和观察组（37例），分别采用常规护理、基于护理程序的整体护理+转变体位干预，并对两组患者舒适度、临床症状改善时间、肺功能指标、排痰效率、并发症发生率进行对比。结果 两组患者心理、生理舒适度评分均高于干预前，且观察组高于对照组（P＜0.05）；与对照组相比，观察组喘息、咳嗽、肺部啰音缓解时间均更短（P＜0.05）；两组患者1 s用力呼吸容积（FEV1）、呼吸流量峰值（PEF）均高于干预前，且观察组上述肺功能指标高于对照组（P＜0.05）；观察组排痰总有效率为97.30%，与对照组的83.78%相比更高（P＜0.05）；观察组并发症发生率为5.41%，与对照组的16.22%相比更高（P＜0.05）。结论 在重症肺炎患者中应用基于护理程序的整体护理联合转变体位干预可提高排痰效果，提升患者临床舒适度，改善肺功能，缓解临床症状，且可降低并发症发生率，具有较理想的护理效果，值得临床加以应用。
Abstract:
Objective To observe the application effect of holistic nursing based on nursing procedure combined with posture change intervention in severe pneumonia, and to explore its effect on sputum excretion and comfort of patients. Methods Totally 74 patients with severe pneumonia diagnosed and treated in our hospital from December 2022 to December 2023 were selected as the research objects. By using a random number table, patients were randomly divided into two groups: a control group (n=37) receiving routine nursing and an observation group (n=37) receiving a combined intervention of holistic nursing based on nursing procedure+posture change intervention. The comfort degree, improvement time of clinical symptoms, lung function index, expectoration efficiency and incidence of complications were compared between the two groups. Results After intervention, both groups showed higher scores of psychological and physiological comfort, while the observation group higher scores than those of the control group (P<0.05). The observation group also showed shorter remission periods for wheezing, coughing, and pulmonary rales than those in the control group (P<0.05). After the intervention, both groups showed higher values of forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF), and the above indexes in observation group were higher compared to the control group (P<0.05). The observation group had higher the total effective rate of sputum excretion (97.30%) versus the control group (83.78%) (P<0.05), while the observation group had lower incidence of complications (5.41%) versus the control group (16.22%) (P<0.05). Conclusion For patients with severe pneumonia, holistic nursing based on nursing procedure combined with changing position intervention can improve the effect of expectoration, the clinical comfort and lung function, relieve clinical symptoms, reduce the incidence of complications. It has an ideal nursing effect and is worthy of clinical application.

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更新日期/Last Update: 1900-01-01