ICU重症肺炎患者应用个体化护理对改善生理指标及预后的影响探讨

The Effect of Individualized Nursing on the Improvement of Physiological Indexes and Prognosis in Patients with Severe Pneumonia

目的对ICU重症肺炎患者应用个体化护理对改善患者生理指标以及预后的影响进行研究。方法择取2017年2月至2018年2月我院ICU重症肺炎患者80例作为研究对象,将所有患者分为观察组、对照组,对照组常规方式护理,观察组在对照组基础上应用个性化护理,将两组患者的APACHEⅡ评分、住院时间、退热时间、并发症出现率、WAC计数恢复正常时间进行对比。结果经过护理干预前,两组患者APACHEⅡ评分无明显差异,观察组患者APACHEⅡ评分明显低于对照组(P<0.05);在住院时间、退热时间以及WAC计数恢复正常时间方面,观察组均明显低于对照组(P<0.05)。结论对ICU重症肺炎患者应用个体化护理具有显著效果,明显改善患者预后,患者各项生理指标恢复更快,在临床护理中值得推广应用。

Objective To study the effect of individualized nursing on patients with severe pneumonia in ICU to improve the physiological indexes and prognosis of patients. Methods 80 patients with ICU severe pneumonia in our hospital from February 2017 to February 2018 were enrolled. All patients were divided into observation group and control group. The control group received routine nursing. The observation group used personalized nursing on the basis of the control group. The APACHE Ⅱ score, hospitalization time, fever time, complication rate and WAC count returned to normal time were compared between the two groups. Results Before the nursing intervention, there was no significant difference in APACHE Ⅱ score between the two groups. The APACHE Ⅱ score of the observation group was significantly lower than that of the control group（P〈0.05）. The observation group was significantly lower in terms of hospitalization time, fever time and normal time of WAC count recovery. In the control group（P〈0.05）. Conclusion The application of individualized nursing in patients with severe pneumonia in ICU has significant effect, significantly improve the prognosis of patients, and the physiological indexes of patients recover faster. It is worthy of popularization and application in clinical nursing.