强化心理支持对56例呼吸内科重症患者的临床效果分析

Clinical effect analysis of strengthening psychological support on patients with severe respiratory medicine

目的探讨强化心理支持对呼吸内科重症患者的临床效果。方法选择2013年8月—2014年3月间杭州师范大学附属医院呼吸内科收治的112例重症患者为研究对象,采用随机数字法将其分为观察组和对照组,每组56例。其中,对照组仅给予基础护理,观察组在此基础上给予强化心理支持护理。护理前后,对2组患者Pa O2、Pa CO2、呼吸频率、心率指标进行统计,并进行对比分析。结果护理后,2组患者Pa O2水平显著提高,差异有统计学意义(P<0.05),且观察组Pa O2水平[(93.1±11.2)mm Hg]显著高于对照组[(82.4±9.8)mm Hg],差异有统计学意义(P<0.05);护理后,2组Pa CO2、呼吸频率、心率水平显著降低,差异有统计学意义(P<0.05),且观察组Pa CO2、呼吸频率、心率水平[(57.3±7.6)mm Hg、(20.1±3.5)次/min、(87.5±8.2)次/min]显著低于对照组[(66.4±7.4)mm Hg、(23.7±3.7)次/min、(95.1±9.4)次/min],差异有统计学意义(P<0.05)。结论对于呼吸内科重症患者,在密切关注患者病情进展、实施基础护理的基础上,给予强化心理支持护理,可增强患者战胜疾病的信心,促进患者更好的康复。

Objective To investigate the clinical effect of strengthening psychological support for patients with acute re- spiratory disease. Methods Total 112 cases of patients with severe respiratory disease in our hospital between August 2013 and March 2014 were selected as study subject. All patients were randomly divided into observation group and con- trol group, each group 56 cases. The patients in the control group were given basic nursing, while the patients in the obser- vation group were given strengthening psychological support nursing based on basic nursing. Before and after the nursing, Pad2 ,PaCO2 ,respiratory rate and heart rate indicators of both groups were observed. Results After the treatment,Pad2 levels of both groups were significantly increased,the difference was statistically significant（ P 〈 0.05） ,and Pad2 level of the observation group [ （ 93.1 ± 11.2 ） mm Hg ] was significantly higher than that of the control group [ （ 82.4 ±9.8 ） mm Hg ], the difference was statistically significant （P 〈 0.05 ） ;After the treatment, PaCO2, respiratory rate and heart rate of both group were significantly reduced, the differences were statistically significant（ P 〈 0.05 ）, and PaCO2, respiratory rate and heart rate of the observation group [ （57.3 ± 7.6 ） mm Hg, （ 20.1 ± 3.5 ） beats/min, （ 87.5 ±8.2 ） beats/min ] were significantly lower than that of the control group [ （ 66.4 ± 7.4 ） mm Hg, （ 23.7 ± 3.7 ） beat/min, （ 95.1 ± 9.4 ） beat/ min ] ,the differences were statistically significant （ P 〈 0.05 ）. Conclusion For patients with severe respiratory disea- ses, on the base of close attention on disease progression and implemention of basic nursing, the strengthening psychologi- cal support nursing can effectively enhance the confidence to overcome the disease and promote better recovery.