[1]李林华.舒适护理联合全面护理用于ICU慢性阻塞性肺疾病并肺心病患者的效果[J].医学信息,2021,34(12):188-190.[doi:10.3969/j.issn.1006-1959.2021.12.052]
　LI Lin-hua.The Effect of Comfort Nursing Combined with Comprehensive Care for Patients with Chronic Obstructive Pulmonary Disease and Pulmonary Heart Disease in ICU[J].Medical Information,2021,34(12):188-190.[doi:10.3969/j.issn.1006-1959.2021.12.052]
点击复制

舒适护理联合全面护理用于ICU慢性阻塞性肺疾病并肺心病患者的效果()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年12期
页码:
188-190
栏目:
护理研究
出版日期:
2021-06-15

文章信息/Info

Title:
The Effect of Comfort Nursing Combined with Comprehensive Care for Patients with Chronic Obstructive Pulmonary Disease and Pulmonary Heart Disease in ICU
文章编号:
1006-1959（2021）12-0188-03
作者:
李林华
（兴国县人民医院重症医学科，江西 兴国 342400）
Author(s):
LI Lin-hua
(Department of Critical Care Medicine,Xingguo County People’s Hospital,Xingguo 342400,Jiangxi,China)
关键词:
舒适护理; 全面护理; ICU; 慢性阻塞性肺疾病; 肺心病; 肺部感染
Keywords:
Comfort nursing; Comprehensive care; ICU; Chronic obstructive pulmonary disease; Pulmonary heart disease; Pulmonary infection
分类号:
R563；R473.5
DOI:
10.3969/j.issn.1006-1959.2021.12.052
文献标志码:
A
摘要:
目的 观察舒适护理与全面护理改善ICU慢性阻塞性肺疾病并肺心病患者肺部感染的效果。方法 选取2019年4月~2020年4月在我院诊治的68例ICU慢性阻塞性肺疾病并肺心病患者为研究对象，采用随机数字表法分为对照组和观察组，各34例。对照组采用常规护理，观察组采用舒适护理联合全面护理干预，比较两组患者急性生理与慢性健康状况（APACHEⅡ）评分、舒适度评分、血常规指标[白细胞分类计数（WBC）、中心粒细胞比例（NEU）]、降钙素原（PCT）、呼吸频率、氧合指数、护理满意度、肺部感染率以及病死率。结果 干预后，两组APACHEⅡ评分均低于干预前，舒适度评分高于干预前，且观察组APACHEⅡ评分低于对照组，舒适度评分高于对照组（P＜0.05）；干预后，两组WBC、NEU、PCT水平均低于干预前，且观察组低于对照组（P＜0.05）；干预后，两组呼吸频率低于干预前，氧合指数高于干预前，且观察组呼吸频率低于对照组，氧合指数高于对照组（P＜0.05）；观察组护理满意度为94.11%，高于对照组的85.29%（P＜0.05）；观察组肺部感染率为5.88%、病死率为2.94%，均低于对照组的11.76%、8.82%（P＜0.05）。结论 舒适护理与全面护理干预有助于改善ICU慢性阻塞性肺疾病并肺心病患者呼吸频率，降低APACHEⅡ评分，提高患者舒适度，降低WBC、NEU、PCT水平，预防肺部感染，提高护理满意度，降低病死率，护理效果确切，值得应用。
Abstract:
Objective To observe the effect of comfort nursing and comprehensive nursing in improving lung infection in patients with chronic obstructive pulmonary disease and pulmonary heart disease in ICU. Methods A total of 68 patients with chronic obstructive pulmonary disease and pulmonary heart disease in the ICU who were diagnosed and treated in our hospital from April 2019 to April 2020 were selected as the research objects. They were divided into the control group and the observation group by random number table, with 34 cases in each group.The control group used conventional nursing care, and the observation group used comfort nursing combined with comprehensive nursing intervention. The two groups were compared with acute physiological and chronic health (APACHEⅡ) scores, comfort scores, blood routine indicators [white blood cell differential count (WBC), centrogranulocyte ratio (NEU)], procalcitonin (PCT), respiratory rate, oxygenation index, nursing satisfaction, lung infection rate, and case fatality rate.Results After the intervention, the APACHE Ⅱ scores of the two groups were lower than before the intervention, and the comfort score was higher than that before the intervention. The APACHE Ⅱ score of the observation group was lower than that of the control group, and the comfort score was higher than that of the control group (P＜0.05) ；After the intervention, the WBC, NEU, and PCT levels of the two groups were lower than before the intervention, and the observation group was lower than the control group(P＜0.05);After the intervention, the breathing frequency of the two groups was lower than that before the intervention, the oxygenation index was higher than that before the intervention, and the breathing frequency of the observation group was lower than that of the control group, and the oxygenation index was higher than that of the control group(P＜0.05);The nursing satisfaction rate of the observation group was 94.11%, which was higher than 85.29% of the control group(P＜0.05);The pulmonary infection rate in the observation group was 5.88%, and the fatality rate was 2.94%, both lower than the 11.76% and 8.82% in the control group(P＜0.05). Conclusion Comfort nursing and comprehensive nursing intervention can help to improve the respiratory rate of ICU patients with chronic obstructive pulmonary disease and cor pulmonale, reduce APACHE Ⅱ score, improve patient comfort, reduce WBC, NEU, and PCT levels, prevent lung infections, and improve nursing satisfaction, reducing the mortality rate,the nursing effect is accurate, and it is worthy of application.

参考文献/References:

[1]刘海棠,谢丽娟.多学科合作延续护理对慢性阻塞性肺疾病患者生命质量的影响[J].中国实用护理杂志,2016,32(10):737-742. [2]段春燕,王颖,张国霞.舒适护理对慢性阻塞性肺疾病肺部感染的作用[J].现代中西医结合杂志,2014,23(2):205-206. [3]Storre JH,Callegari J,Magnet FS,et al.Home noninvasive ventilatory support for patients with chronic obstructive pulmonary disease:patient selection and perspectives[J].Int J Chronic Obstructive Pulmon Dis,2018(13):753-760. [4]韩荣.综合康复护理措施对老年慢性阻塞性肺疾病患者肺功能的影响[J].中国实用医药,2015,12(33):216-217. [5]陈坤,牛艳慧.舒适护理干预在COPD肺部感染患者中应用的观察[J].中国临床研究,2016,29(8):1139-1141. [6]Gardener AC,Ewing G,Kuhn I,et al.Support needs of patients with COPD:a systematic literature search and narrative review[J].Int J Chronic Obstruct Pulmon Dis,2018(13):1021-1035. [7]易红.慢性阻塞性肺疾病合并呼吸衰竭舒适护理体会[J].中国实用医药,2014,12(8):200-201. [8]董学敏,王斐.慢性阻塞性肺疾病急性加重期合并呼吸衰竭30例患者应用无创呼吸机治疗的护理[J].中华肺部疾病杂志电子版,2016,28(1):109-110. [9]陆殿霞.舒适护理在无创呼吸机治疗COPD合并Ⅱ型呼吸衰竭中的应用效果[J].循证护理,2016,2(4):241-242. [10]梁淑玲.整体护理对c0PD合并呼吸衰竭患者无创呼吸机耐受率及不良反应的影响[J].中国医药导刊,2016,18(8):841-842. [11]刘兴华,李少霞,柳东伟.无创正压通气配合舒适护理在COPD合并呼吸衰竭患者中的应用[J].白求恩医学杂志,2016,14(4):525-528. [12]漆璐,雷春璞.舒适护理对老年慢性阻塞性肺疾病患者

相似文献/References:

[1]严飞.肺结核住患者合并多重耐药菌的护理方法及效果观察[J].医学信息,2018,31(01):173.[doi:10.3969/j.issn.1006-1959.2018.01.069]
　YAN fei.Nursing Method and Effect Observation of Multidrug-resistant Bacteria in Hospitalized Patients with Pulmonary Tuberculosis[J].Medical Information,2018,31(12):173.[doi:10.3969/j.issn.1006-1959.2018.01.069]
[2]罗玉霞.舒适护理在布地奈德联合氨溴索雾化吸入治疗 慢阻肺急性发作患者的效果分析[J].医学信息,2018,31(12):179.[doi:10.3969/j.issn.1006-1959.2018.12.058]
　LUO Yu-xia.Analysis of the Effect of Comfortable Nursing in the Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients with Aerosolized Inhalation of Budesonide and Ambroxol[J].Medical Information,2018,31(12):179.[doi:10.3969/j.issn.1006-1959.2018.12.058]
[3]洪青香.舒适护理模式在子宫肌瘤切除患者围术期护理中的应用[J].医学信息,2022,35(17):190.[doi:10.3969/j.issn.1006-1959.2022.17.052]
　HONG Qing-xiang.Application of Comfortable Nursing Mode in Perioperative Nursing of Patients Undergoing Myomectomy[J].Medical Information,2022,35(12):190.[doi:10.3969/j.issn.1006-1959.2022.17.052]
[4]帅纬纬,谢利莎,朱 萍.不同护理方式对子宫内膜癌化疗患者负性情绪及生活质量的影响[J].医学信息,2019,32(21):178.[doi:10.3969/j.issn.1006-1959.2019.21.061]
　SHUAI Wei-wei,XIE Li-sha,ZHU Ping.Effects of Different Nursing Methods on Negative Emotion and Quality of Life in Patients with Endometrial Cancer Chemotherapy[J].Medical Information,2019,32(12):178.[doi:10.3969/j.issn.1006-1959.2019.21.061]
[5]李 妍.舒适护理和呼吸功能锻炼干预在改善慢阻肺急性期患者肺功能和生活质量中的效果[J].医学信息,2021,34(10):183.[doi:10.3969/j.issn.1006-1959.2021.10.054]
　LI Yan.The Effect of Comfort Care and Respiratory Function Exercise Intervention in Improving Lung Function and Quality of Life in Patients with Acute Chronic Obstructive Pulmonary Disease[J].Medical Information,2021,34(12):183.[doi:10.3969/j.issn.1006-1959.2021.10.054]
[6]戴小玲.舒适护理联合预见性心理干预对择期剖宫产产妇术前焦虑及术后康复的影响[J].医学信息,2023,36(04):159.[doi:10.3969/j.issn.1006-1959.2023.04.034]
　DAI Xiao-ling.Effect of Comfort Nursing Combined with Predictive Psychological Intervention on Preoperative Anxiety and Postoperative Rehabilitation of Parturients Undergoing Elective Cesarean Section[J].Medical Information,2023,36(12):159.[doi:10.3969/j.issn.1006-1959.2023.04.034]
[7]卢丽红.舒适护理联合阶段性健康教育对剖宫产术后产妇恢复及母乳喂养的影响[J].医学信息,2024,37(08):155.[doi:10.3969/j.issn.1006-1959.2024.08.033]
　LU Li-hong.Effect of Comfort Nursing Combined with Staged Health Education on Maternal Recovery and Breastfeeding After Cesarean Section[J].Medical Information,2024,37(12):155.[doi:10.3969/j.issn.1006-1959.2024.08.033]

更新日期/Last Update: 1900-01-01