以循证理念为基础的针对性护理在老年重症肺炎患者中的应用效果

Application effects of targeted nursing based on evidence-based concept in elderly patients with severe pneumonia

目的:观察以循证理念为基础的针对性护理在老年重症肺炎患者中的应用效果。方法:选取86例老年重症肺炎患者作为研究对象,以随机数字表法分为观察组与对照组各43例。对照组行常规护理,观察组在对照组基础上采用以循证理念为基础的针对性护理,比较两组咳痰消失时间、住院时间、护理前后最大呼气流量(PEF)和负性情绪[焦虑自评量表(SAS)与抑郁自评量表(SDS)]评分。结果:观察组咳痰消失时间和住院时间均短于对照组,差异有统计学意义(P<0.05);护理后,观察组PEF大于对照组,SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用以循证理念为基础的针对性护理可缩短老年重症肺炎患者咳痰消失时间和住院时间,降低负性情绪评分,提高PEF,效果优于单纯常规护理。

Objective:To observe application effects of targeted nursing based on evidence-based concept in elderly patients with severe pneumonia.Methods:86 elderly patients with severe pneumonia were selected as the research objects,and were divided into observation group and control group by using the random number table method,43 cases in each group.The control group received routine nursing,while the observation group was given the targeted nursing care based on evidence-based concept on the basis of that of the control group.The expectoration disappearance time,the hospitalization time,the peak expiratory flow(PEF),and the negative emotion[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]scores were compared between the two groups before and after the nursing.Results:The expectoration disappearance time and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the PEF of the observation group was greater than that of the control group;the scores of SAS and SDS were lower than those of the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the targeted nursing based on evidence-based concept can shorten the expectoration disappearance time and the hospitalization time in the elderly patients with severe pneumonia,reduce the negative emotion scores,and improve the PEF.Moreover,it is superior to simple routine nursing.