细节护理干预对重症肺炎患者生活质量及并发症的影响

Effect of detailed nursing intervention on quality of life and complications of patients with severe pneumonia

目的探讨细节护理干预对重症肺炎患者生活质量及并发症的影响。方法选取2017年9月-2019年5月我院收治的80例重症肺炎患者,按入院顺序分为对照组和观察组,各40例。对照组常规护理,观察组在常规护理基础上实施细节护理干预。观察比较两组患者健康状况,生活质量及并发症情况。结果干预前两组急性生理与慢性健康评分(APACHE II)差异无统计学意义(P>0.05)。干预后对照组APACHE II评分高于观察组(P<0.05)。干预前两组Barthel指数(BI)评分无统计学差异(P>0.05)。干预后观察组BI评分高于对照组(P<0.05)。对照组出现心衰、肺水肿及呼吸窘迫综合征等并发症发生率高于观察组(P<0.05)。结论细节护理干预可有效改善重症肺炎患者健康状况,提高其生活质量,期间并发症发生率显著降低,有利于患者预后,对临床价值较大,值得推荐。

Objective To investigate the effect of detailed nursing intervention on quality of life and complications of patients with severe pneumonia.Methods Eighty patients with severe pneumonia admitted to our hospital from September to May 20,2017 were enrolled.The patients were divided into the control group and the observation group according to the order of admission,40 cases each.The control group received routine care,and the observation group performed detailed nursing intervention on the basis of routine care.The health status,quality of life and complications of the two groups were observed and compared.Results There was no significant difference in acute physiology and chronic health score(APACHE II)between the two groups before intervention(P>0.05).The APACHE II score of the control group was significantly higher than that of the observation group(P<0.05).There was no significant difference in Barthel index(BI)score between the two groups before intervention(P>0.05).After the intervention,the BI score of the observation group was higher than that of the control group(P<0.05).The incidence of complications such as heart failure,pulmonary edema and respiratory distress syndrome in the control group was significantly higher than that in the observation group(P<0.05).Conclusion Detailed nursing intervention can effectively improve the health status of patients with severe pneumonia,improve their quality of life,and the incidence of complications is significantly reduced,which is conducive to the prognosis of patients,and has great clinical value and is worthy of recommendation.