耐高压注射型双腔PICC导管辅助下的精细化护理模式在重症肺炎患者中的实施价值

The Implementation Value of Meticulous Nursing Mode Assisted by High Pressure Injection Type Double Lumen PICC Catheter in Patients with Severe Pneumonia

目的:探讨耐高压注射型双腔PICC导管(Power PICC)辅助下采取精细化护理干预模式对重症肺炎患者疾病改善的应用价值。方法:选取2019年1月—2021年1月周口市中心医院收治的80例重症肺炎患者作为研究对象,将患者住院号作为分组标准,随机将80例患者均分为对照组与观察组,每组各40例。两组患者均采取双腔Power PICC导管辅助治疗,其中对照组在双腔Power PICC导管应用期间采取常规护理干预,观察组则采取精细化护理干预模式。比较两组患者在院干预阶段动脉血气指标[动脉血氧分压(PaO_(2))、动脉血二氧化碳分压(PaCO_(2))]、生命指征变化情况、并发症发生率、护理满意度、生活质量。结果:干预后,观察组PaO_(2)指标高于对照组,PaCO_(2)指标低于对照组,差异有统计学意义(t=21.305、13.870,P<0.05)。观察组氧和指数高于对照组,心率、呼吸频率低于对照组,差异有统计学意义(t=2.150、7.807、7.817,P<0.05)。观察组并发症发生率为5.00%,明显低于对照组的20.00%,差异有统计学意义(χ^(2)=4.114,P<0.05)。观察组护理满意度为97.50%,明显高于对照组的77.50%,差异有统计学意义(χ^(2)=7.314,P<0.05)。观察组生活质量评分中焦虑、恐惧、抑郁、敌对、躯体化各单项评分均低于对照组,差异有统计学意义(t=2.659、3.096、3.513、2.739、2.836,P<0.05)。结论:双腔Power PICC导管辅助下应用精细化护理干预,能够改善重症肺炎患者动脉血气指标、生命指征水平,降低并发症发生率,提高护理满意度,提升重症肺炎患者生活质量。

Objective:To explore the application value of refined nursing intervention mode assisted by high-pressure injection-type dual-lumen PICC catheter(Power PICC) in improving the disease of patients with severe pneumonia.Methods:A total of 80 patients with severe pneumonia admitted to the hospital from January 2019 to January 2021 were selected as the research objects, and the patients’ hospital number was used as the grouping standard, and they were randomly divided into the control group and the observation group, with 40 cases in each group. The patients in both groups were treated with double-lumen Power PICC catheter. Both groups received dual-lumen Power PICC catheter-assisted therapy, the control group received routine nursing intervention during the application of dual-lumen Power PICC catheter, and the observation group received refined nursing intervention mode. The arterial blood gas indicators(arterial partial pressure of oxygen [PaO_(2)], arterial partial pressure of carbon dioxide [PaCO_(2)]), changes in vital signs, incidence of complications, nursing satisfaction, and quality of life were compared between the two groups of patients during the intervention period.Results:After the intervention, the Pa O2index of the observation group was higher than that of the control group, and the PaCO_(2) index was lower than that of the control group, and the differences were statistically significant(t=21.305, 13.870, P<0.05). The oxygen and index of the observation group were higher than those of the control group,and the heart rate and respiratory rate were lower than those of the control group, and the differences were statistically significant(t=2.150, 7.807, 7.817, P<0.05). The incidence of complications in the observation group was 5.00%, which was significantly lower than 20.00% in the control group, and the difference was statistically significant(χ^(2)=4.114, P<0.05). The nursing satisfaction of the observation group was 97.50%, which was higher than 77.50% of the control group, and the difference was statistically significant(χ^(2)=7.314, P<0.05). The individual scores of anxiety, fear, hostility, depression and somatization in the quality of life score of observation group were lower than those of the control group, and the difference was statistically significant(t=2.659, 3.096, 3.513,2.739, 2.836, P<0.05).Conclusion:The application of refined nursing intervention assisted by dual-lumen Power PICC catheter can improve the level of arterial blood gas indexes and vital signs in patients with severe pneumonia, reduce the incidence of complications, improve nursing satisfaction, and improve the quality of life of patients with severe pneumonia.