预见性护理在老年重症肺炎中的应用价值

Application Value of Predictive Nursing in Senile Severe Pneumonia

目的了解预见性护理在老年重症肺炎中的应用价值。方法将我院2017年1月至2018年1月的48例老年重症肺炎患者,随机分组常规干预组(n=24,给予常规护理服务)和预见性服务组(n=24,给予预见性护理)。比较两组护理效果。结果预见性服务组的家属对护理满意程度为100.00%(24/24),常规干预组为50.00%(12/24)(P<0.05)。护理前,两组患者肺部炎性生化指标、APACHEⅡ评分值、PEF、FEV1指标比较无差异(P>0.05);护理后,预见性服务组肺部炎性生化指标、APACHEⅡ评分值、PEF、FEV1指标优于常规干预组(P<0.05)。预见性服务组老年重症肺炎诊疗全程的配合程度、ICU住院的时间、总的住院的时间优于常规干预组(P<0.05)。预见性服务组病死率明显低于常规干预组(P<0.05)。结论老年重症肺炎患者实施预见性护理效果确切,可有效提高患者的配合度,并缩短住院的时间,改善患者的肺部炎症和肺功能,降低病死率,提高患者的家属对护理满意程度。

Objective To understand the value of predictive nursing in elderly patients with severe pneumonia.Methods The 48 elderly patients with severe pneumonia in our hospital from January 2017 to January 2018 were randomly divided into the conventional intervention group(n=24,giving routine nursing services)and the predictive service group(n=24,giving predictive nursing services).Compare the nursing effect of the two groups.Results The family members of the predictive service group were satisfied with nursing care 100.00%(24/24),and the conventional intervention group was 50.00%(12/24)(P<0.05).Before nursing,there was no difference in pulmonary inflammatory biochemical indexes,APACHEⅡscore value,PEF,FEV1 index between the two groups of patients(P>0.05);after nursing,the pulmonary inflammatory biochemical indexes,APACHEⅡscore value,PEF,the FEV1 index predictive service group was better than the conventional intervention group(P<0.05).The predictive service group was better than the conventional intervention group in the degree of cooperation throughout the diagnosis and treatment of severe pneumonia,the length of ICU hospitalization,and the total length of hospitalization(P<0.05).The fatality rate of the predictive service group was significantly lower than that of the conventional intervention group(P<0.05).Conclusion The effect of predictive care for elderly patients with severe pneumonia is definite,which can effectively improve the cooperation of patients,shorten the length of hospitalization,improve the patients'lung inflammation and lung function,reduce the mortality rate,and increase the satisfaction degree of the patients'families with nursing care.