呼吸内科重症患者的临床护理探讨

Clinical Nursing of Patients with Severe Respiratory Department of Internal Medicine

目的探讨分析呼吸内科重症患者的临床护理举措,为今后临床护理重症内科疾病提供护理指导。方法选取该院2014年3月—2016年1月期间呼吸内科收治的重症患者173例,采用双盲对照法随机分为观察、对照两组,对照组86例,采用呼吸内科常规护理方式进行服务,观察组87例,结合患者病情状态制定针对性护理方案,采取综合性护理干预,对比两组患者临床护理效果。结果观察组患者治疗总有效率90.80%(79/87),对照组患者治疗总有效率75.58%(65/86),两组对比差异显著,采用针对性护理方案行综合性护理干预的观察组护理质量显著高于对照组差异有统计学意义(P<0.05)。结论良好个体化护理对呼吸内科重症患者护理疗效良好,可有效促进患者后期恢复,通过对呼吸衰竭患者的抢救配合及监护,总结该类患者的抢救程序及护理体会,制定高效率抢救配合程序和护理计划,以应用于临床护理工作中。值得临床推广应用。

Objective To explore and analyze the clinical nursing measures for patients with severe respiratory disease in Department of internal medicine, and to provide nursing guidance for clinical nursing in the future. Methods Select the hospital 2014 years March 2016 January admitted to Department of respiratory medicine in patients with severe 173 cases,using double blind control method were randomly divided into observation group and control group, control group（86 cases）,using routine respiratory care services, 87 cases of the observation group, combined with patient state formulated according to the nursing program, to take comprehensive nursing intervention, compared two groups of patients with clinical nursing effect. Results Patients in the observation group the total efficiency 90.80%（79）, control group of patients treated with total efficiency 75.58%（65 / 86）, significant differences between the two groups using according to the nursing program, comprehensive nursing intervention in the observation group received nursing quality was significantly higher than that of the control group（P〈0.05） was statistically significant. Conclusion Good individual nursing care on the efficacy of nursing of patients with severe respiratory department of internal medicine good, can effectively promote the recovery of patients with late, by patients of respiratory failure with the rescue and care, summarize the experience in the rescue program and nursing care of the patients, establish effective rescue cooperation program and nursing plan and to apply in clinical nursing work.Worthy of clinical popularization and application.