专项护理对肺部感染性疾病患者肺功能、血气指标和护理工作满意度的影响

Effect of specialized care on pulmonary function,blood gas levels and nursing satisfaction in patients with pulmonary infectious diseases

目的分析专项护理对肺部感染性疾病患者肺功能、血气指标和护理工作满意度的影响。方法选取2018年3月-2020年7月平顶山市某医院诊治的肺部感染性疾病患者82例为研究对象,采用随机数字表法分为研究组(n=41)与对照组(n=41)。对照组患者给予常规护理,研究组在对照组护理基础上给予专项护理,2组患者均持续护理至出院。比较2组患者护理前后症状改善情况、血气指标[动脉血氧分压(PaO_(2))、动脉二氧化碳分压(PaCO_(2))、动脉血氧饱和度(SaO_(2))]、肺功能[用力肺活量(FVC)、第1秒用力呼气容积(FEV_(1))/FVC],比较2组患者的住院时间及护理工作满意度。结果护理前,2组患者咳嗽频率、咳痰量、呼吸困难程度评分比较,差异均无统计学意义(P>0.05);护理后,2组患者咳嗽频率、咳痰量、呼吸困难程度评分均低于护理前,且研究组低于对照组,差异均有统计学意义(P<0.05)。护理前,2组患者PaO_(2)、PaCO_(2)及SaO_(2)水平比较,差异均无统计学意义(P>0.05);护理后,2组患者PaO_(2)及SaO_(2)水平均高于护理前且研究组高于对照组,PaCO_(2)水平低于护理前,且研究组低于对照组,差异均有统计学意义(P<0.05)。护理前,2组患者FVC及FEV_(1)/FVC水平比较,差异均无统计学意义(P>0.05);护理后,2组患者FVC及FEV_(1)/FVC水平均高于护理前,且研究组高于对照组,差异均有统计学意义(P<0.05)。研究组患者的住院时间短于对照组,差异有统计学意义(P<0.05);护理工作满意度评分高于对照组,差异有统计学意义(P<0.05)。结论专项护理可有效缓解肺部感染性疾病患者的临床症状,改善血气指标和肺功能,缩短住院时间,提高护理工作满意度,值得临床上推广使用。

Objective To analyze the effect of special care on pulmonary function,blood gas levels and nursing satisfaction in patients with pulmonary infectious diseases.Methods Eighty-two patients with pulmonary infectious diseases treated in a hospital in Pingdingshan from March 2018 to July 2020 were selected for the study and divided into a study group(n=41)and a control group(n=41)using the random number table method.The patients in the control group were given conventional care,and the study group was given specialized care based on the care of the control group,and the patients in both groups were continuously cared for until they were discharged.The improvement of symptoms,blood gas levels[arterial partial pressure of oxygen(PaO_(2)),arterial partial pressure of carbon dioxide(PaCO_(2))and arterial oxygen saturation(SaO_(2))],pulmonary function[forced vital capacity(FVC),forced expiratory volume in the first second(FEV_(1))/FVC],length of stay and satisfaction with nursing care were compared between the 2 groups of patients before and after care.Results Before nursing care,there were no statistically significant differences between the cough frequency,cough volume and dyspnea degree scores of patients in the 2 groups(P>0.05);after nursing care,the cough frequency,cough volume and dyspnea degree scores of patients in the 2 groups were lower than those before nursing care,and the study group was lower than the control group,with statistically significant differences(P<0.05).Before care,there was no statistically significant difference between the PaO_(2),PaCO_(2) and SaO_(2) levels of the two groups(P>0.05);after care,the PaO_(2) and SaO_(2) levels of the two groups were higher than before care,and the study group was higher than the control group,and the differences were statistically significant(P<0.05);the PaCO_(2) level was lower than before care,and the study group was lower than the control group,and the differences were statistically significant(P<0.05).Before nursing care,there was no statistically significant difference between the FVC and FEV_(1)/FVC levels of the 2 groups;after nursing care,the FVC and FEV_(1)/FVC levels of the 2 groups were higher than before nursing care,and the study group was higher than the control group,and the differences were statistically significant(P<0.05).The length of stay of patients in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05);the satisfaction score of nursing work was higher in the study group than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Specialized nursing care can effectively relieve patients with pulmonary infectious diseases by relieving clinical symptoms,improving blood gas levels and pulmonary function,shortening hospitalization time,and improving nursing job satisfaction,which is worthy of clinical promotion and use.