老年肺部感染住院患者院内综合护理策略的构建与实施效果

Construction and implementation effect of hospital comprehensive nursing strategy for elderly inpatients with pulmonary infection

目的考察老年肺部感染住院患者院内综合护理策略的构建与实施效果。方法选取2020年8月至2022年9月南京医科大学附属逸夫医院收治的106例老年肺部感染住院患者作为研究对象,根据护理方式的不同分为对照组和观察组,每组53例。对照组给予常规护理方式,观察组构建院内综合护理策略再予以实施,比较2组的护理效果。结果观察组的住院时间短于对照组,湿啰音消失、体温恢复正常和咳痰消失的时间均早于对照组(P均<0.05)。干预3 d和7 d后,2组的高敏C反应蛋白(hs-CRP)、降钙素原(PCT)和血红蛋白(Hb)水平均优于干预前,在干预7 d后的上述指标均优于干预3 d后(P均<0.05);观察组的hs-CRP、PCT和Hb水平均比同期对照组更优(P均<0.05)。干预7 d和28 d后,2组的焦虑自评量表和抑郁自评量表评分均低于干预前,Braden量表评分、日常生活能力量表和健康调查简表评分均高于干预前,在干预28 d后的上述评分均优于干预7 d后(P均<0.05);观察组的上述各方面评分均比同期对照组更优(P均<0.05)。结论院内综合护理策略的构建和实施有助于缩短老年肺部感染患者的住院时间,加快康复进程,改善心理状态和压力性损伤情况,降低炎症因子水平,改善营养状况和生活质量。

Objective To investigate the construction and implementation effect of hospital comprehensive nursing strategy for elderly inpatients with pulmonary infection.Methods A total of 106 elderly inpatients with pulmonary infection at Sir Run Run Hospital,Nanjing Medical University from August 2020 to September 2022 were included in the study.According to different nursing methods,they were allocated into control and observation groups,with 53 patients in each group.The routine nursing method was carried out in the control group,and the hospital comprehensive nursing strategy was constructed and implemented in the observation group.The nursing effect of the two groups was compared.Results The hospitalization time,time to moist rale disappearance,fever subsidence,and sputum disappearance in the observation group were shorter than those in the control group(all P<0.05).After 3 and 7 days of intervention,the levels of high-sensitivity C-reactive protein(hs-CRP),procalcitonin(PCT),and hemoglobin(Hb)in both groups were better than those before intervention,and the above parameters after 7 days of intervention were better than those after 3 days of intervention(all P<0.05).The levels of hs-CRP,PCT,and Hb in the observation group were better than those in the control group(all P<0.05).After 7 and 28 days of intervention,the scores of Self-Rating Anxiety Scale and Self-Rating Depression Scale in both groups were lower than those before intervention,and the scores of Braden Scale,Activities of Daily Living Scale,and 36-Item Short-Form Health Survey were higher than those before intervention.The above scores after 28 days of intervention were better than those after 7 days of intervention(all P<0.05).The above scores of the observation group were better than those of the control group(all P<0.05).Conclusion The construction and implementation of hospital comprehensive nursing strategy can help shorten the hospitalization time of elderly patients with pulmonary infection,accelerate their recovery process,improve their psychological status and pressure injuries,reduce the levels of inflammatory factors,and improve their nutritional status and quality of life.