急危重肺病患者经纤维支气管镜治疗的精细化护理干预

Refined nursing for critical pulmonary disease patients treated by fibrobronchoscopy

目的探讨精细化护理干预在急危重症肺病患者经纤维支气管镜治疗中的应用效果。方法采用便利抽样法,选取2018年5月—2019年9月武汉市肺科医院收治的126例急危重肺病患者为研究对象,根据随机数字表法分为对照组和观察组,每组各63例。两组患者均应用常规治疗联合纤维支气管镜治疗,在此基础上对照组患者应用常规护理干预,观察组患者在对照组的基础上应用精细化护理干预。采用SAS、SDS及匹兹堡睡眠质量指数(PSQI)比较两组患者干预前后的心理状态评分、睡眠质量评分,比较两组患者术后并发症发生率及护理满意度。结果干预后,观察组患者后的SAS、SDS评分均低于对照组,两组得分比较差异有统计学意义(P<0.05);观察组护理后的PSQI各项评分及总分均低于对照组,两组得分比较差异有统计学意义(P<0.05);观察组患者的并发症发生率为3.2%(2/63),低于对照组的12.7%(8/63),两组比较差异有统计学意义(P<0.05);观察组患者的护理满意度为95.2%(60/63),高于对照组的84.1%(53/63),两组比较差异有统计学意义(P<0.05)。结论精细化护理干预可有效纠正经纤维支气管镜治疗的急危重肺病患者的负性情绪,提高患者睡眠质量,降低患者术后并发症的发生率,并提高护理满意度,值得临床应用。

Objective To explore the effects of refined nursing for critical pulmonary disease patients treated by fibrobronchoscopy.Methods From May 2018 to September 2019,we selected 126 critical pulmonary disease patients admitted to Wuhan Pulmonary hospital by convenient sampling.All patients were divided into control group and observation group with the method of random number table,63 cases in each group.Patients of two groups were all treated with conventional treatment combined with fibrobronchoscopy.On this basis,patients in control group received routine nursing intervention,and patients in observation group were given refined nursing intervention on the basis of the control group.The scores of mental state,sleep quality,were compared with the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI)of patients between two groups before and after intervention,and the incidence of postoperative complications and nursing satisfaction of patients between two groups before and after intervention were compared too.Results There was no statistical difference in the scores of SAS,SDS and sleep quality of patients between two groups before nursing(P>0.05).After nursing,the scores of SAS and SDS of patients in observation group were lower than those in control group with statistical differences(P<0.05);the dimension scores and total score of PSQI of observation group were lower than those of control group also with statistical differences(P<0.05);the incidence of complications of observation group was 3.2%(2/63),which was lower than 12.7%(8/63)of control group with a statistical difference(P<0.05);the nursing satisfaction of observation group was 95.2%(60/63)higher than that[84.1%(53/63)]of control group,the difference was statistically significant(P<0.05).Conclusions Refined nursing can effectively correct the negative emotions of patients with critical pulmonary disease treated by fibrobronchoscopy,improve the sleep quality of patients,reduce the incidence of postoperative complications and improve nursing satisfaction,which is worthy of clinical application.