肺功能提升临床干预路径对重症肺部感染患者的价值分析

Analysis on the value of clinical nursing path for patients with severe pneumonia to improve lung function

目的 探讨重症肺部感染患者给予肺功能提升临床护理路径的价值。方法 选择2019年1月1日至2020年7月31日实施常规干预的重症肺部感染患者37例作为对照组;另外选择2020年8月1日至2021年9月30日实施临床护理路径干预的重症肺部感染患者37例作为研究组。观察2组症状缓解所需时间,焦虑自评量表、抑郁自评量表评分,检测2组肺功能[最大通气量(MVV)、肺活量(VC)、第1秒用力呼气容积(FEV1)]、炎性因子水平[C-反应蛋白(CRP)、降钙素原(PCT)、白介素-6(IL-6)]。结果 研究组症状缓解时间较对照组明显缩短(P<0.05);研究组干预后心理负性情绪评分,优于对照组(P<0.05);干预前2组心理负性情绪评分,差异无统计学意义务(P>0.05);研究组干预后肺功能,改善结果优于对照组(P<0.05);研究组患者干预后炎性因子水平低于对照组(P<0.05)。结论 院内重症肺部感染患者治疗期间,实施临床护理路径干预,可以在干预患者心理情绪的基础上,提升患者肺功能,缓解患者炎性反应的同时,促进患者快速恢复,具有较为显著的临床价值。

Objective To discuss and analyze the value of the clinical nursing path of patients with severe pneumonia to improve lung function.Methods A total of 37 patients with severe pulmonary infection who underwent routine intervention from January 1,2019 to July 31,2020 were selected as the control group,and 37 patients with severe pulmonary infection who implemented clinical nursing pathway intervention from August 1,2020 to September 30,2021 were selected as the study group.The time for symptom relief,anxiety self-rating scale scores,depression self-rating scale scores,lung function [maximum ventilation(MVV),vital capacity(VC),forced expiratory volume in 1 second(FEV1)] and inflammatory factor levels [C-reactive protein(CRP),procalcitonin(PCT),interleukin-6(IL-6)] between groups were ccompared.Results The time for symptom relief in the study group was significantly shorter than that of the control group(P<0.05).The negative emotion scores of the study group after intervention were significantly better than those of the control group(P<0.05),which,before the intervention was comparable(P>0.05).The improvement of the lung function in the study group after the intervention was significantly better than that of the control group(P<0.05).Expression levels of inflammatory factors were significantly lower in the study group than those of control group(P<0.05).Conclusion During the treatment of patients with severe pneumonia in the hospital,the implementation of clinical nursing pathway intervention can improve the lung function and relieve the inflammatory response on the basis of interfering with the patient’s psychological mood.It also promotes the rapid recovery,which has a significant clinical value.