重症肺炎合并呼吸衰竭患者应用医护一体化护理模式的效果

The Effect of Applying Integrated Medical and Nursing Care Model for Patients with Severe Pneumonia Complicated with Respiratory Failure

目的观察重症肺炎合并呼吸衰竭患者应用医护一体化护理模式的效果。方法选择该院重症监护室2019年1月—2020年1月收治的100例重症肺炎合并呼吸衰竭患者进行研究,将患者分为对照组(常规护理干预)、试验组(医护一体化护理模式)两组,每组50例。对比两组患者呼吸症状改善时间、肺功能指标以及护理满意度。结果护理后,试验组患者FVC(2.52±0.11)L、FEV1(1.51±0.09)L、FEV1/FVC(58.31±1.02)%优于对照组(2.24±0.12)L、(1.35±0.07)L、(53.79±1.05)%,差异有统计学意义(P<0.05);试验组咳嗽消失时间(2.73±0.54)d、气促缓解时间(4.01±0.38)d、哮鸣音消失时间(3.93±0.41)d优于对照组(4.12±0.49)、(5.65±0.36)、(5.98±0.44)d,差异有统计学意义(t=3.721、3.735、3.719,P<0.05);试验组护理满意度92.00%优于对照组70.00%,差异有统计学意义(χ^(2)=7.862,P<0.05)。结论对重症肺炎合并呼吸衰竭患者应用医护一体化护理模式可以改善患者呼吸症状与肺功能,能够获得令人更满意的护理效果。

Objective To observe the effect of applying an integrated medical care model to patients with severe pneumonia and respiratory failure.Methods A total of 100 patients with severe pneumonia and respiratory failure admitted to the intensive care unit of the hospital from January 2019 to January 2020 were selected for research.The patients were divided into a control group(conventional nursing intervention)and a experimental group(integrated medical care model),50 cases in each group.The improvement time of respiratory symptoms,lung function indexes and nursing satisfaction were compared between the two groups of patients.Results After nursing,FVC(2.52±0.11)L,FEV1(1.51±0.09)L,FEV1/FVC(58.31±1.02)% of patients in the experimental group were better than those in the control group(2.24±0.12)L,(1.35±0.07)L,(53.79±1.05)%,the difference was statistically significant(P<0.05);in the experimental group,cough disappearance time(2.73±0.54)d,shortness of breath relief time(4.01±0.38)d,wheeze disappearance time(3.93±0.41)d were better than the control group(4.12±0.49)d,(5.65±0.36)d,(5.98±0.44)d,the difference was statistically significant(t=3.721,3.735,3.719,P<0.05);the experiment group nursing satisfaction degree of 92.00% was better than 70.00% in the control group,and the difference was statistically significant(χ^(2)=7.862,P<0.05).Conclusion The application of an integrated medical-nursing care model for patients with severe pneumonia combined with respiratory failure can improve the respiratory symptoms and lung function of the patients,and achieve more satisfactory nursing results.