预防性护理干预对长期卧床患者坠积性肺炎发生的影响

Effect of preventive nursing intervention on the incidence of hypostatic pneumonia in long term bedridden patients

目的探究预防性护理干预对长期卧床患者坠积性肺炎发生的影响。方法随机本院收治的69例长期卧床患者作为本次研究试验对象,根据入院时间先后将患者分成观察组35例和对照组34例,对照组给予常规护理,观察组患者采用预防性护理措施干预,观察并记录2组患者干预前后FEV1值、FVC值评分、生存质量评分以及坠积性肺炎发生率、病死率、患者满意率。结果观察组患者坠积性肺炎发生率17.14%,病死率2.86%;对照组分别为41.18%、17.65%,均显著高于观察组,2组比较差异有统计学意义(P<0.05)。干预护理后,2组MVV、FEV1和FVC均显著高于干预前(P<0.05),且观察组患者肺功能指标明显高于对照组(P<0.05)。观察组患者干预后在躯体功能、心理功能、社会功能以及物质功能等方面评分均显著高于干预前,生存质量提高,且与同时期对照组比较有显著差异(P<0.05)。结论预防性护理能明显降低坠积性肺炎发生概率,肺部功能有显著改善,患者满意度较高,有利于提高生活质量和预后。

Objective To explore the effect of preventive nursing dence of hypostatic pneumonia in long term bedridden patients. Methods intervention on the inci- A total of 69 bedridden patients in our hospital patients were randomly divided into observation group and control group ac- cording to chronological admission. The control group received routine care and the observation group was treated with preventive care measures, FEV1 values before and after the intervention, FVC val- ues, SAS scores, SDS scores, quality of life scores and incidence of hypostatic pneumonia, mortality, and satisfaction were analyzed and compared. Results The incidence rate of hypostatic pneumonia in the observation group was 17.14% , and the mortality rate was 2.86%, and were 41.18% and 17.65% in the control group, which were significantly higher than that in observation group （P 〈 0.05 ）. After care intervention, MVV, FEV~ and FVC were significantly higher than the intervention before （ P 〈 0. 05 ）, and pulmonary function indicators were significantly higher in the observation group （P 〈 0.05 ）. After intervention, physical function, psychological function, social function and physical function and other aspects scores in the observation group were significantly higher than pre- intervention, and quality of life was improved more （P 〈 0.05 ）. Conclusion Preventive care inter- vention can decrease the incidence of hypostatic pneumonia, improve lung function, enhance patients＇ satisfaction, reduce anxiety and depression and other negative emotions, and improve quality of life and prognosis, so it is worthy of widely recommendation.