专业医护人员引导下的一体化管理在老年重症肺炎患者中的应用

Integrated management guided by professional medical staff for elderly patients with severe pneumonia

目的探究专业医护人员引导下的一体化管理在老年重症肺炎患者中的应用效果。方法根据入院顺序将2020年7月至2022年7月河南科技大学第一附属医院收治的80例老年重症肺炎患者分为对照组和观察组,每组40例。对照组男23例,女17例,年龄62~85(73.56±4.15)岁,给予常规护理干预;观察组男21例,女19例,年龄63~87(74.11±4.32)岁,给予常规护理+专业医护人员引导下的一体化管理。对比两组症状改善情况、肺功能、焦虑自评量表(SAS)评分、生活质量综合评定问卷-74(GQOL-74)评分及满意度。采用t检验和χ^(2)检验。结果观察组气促消失时间、咳嗽消失时间、哮鸣音消失时间均短于对照组[(2.86±0.53)d比(3.45±0.61)d、(2.67±0.46)d比(3.57±0.59)d、(4.76±0.68)d比(6.01±0.73)d;t=4.618、7.608、7.924,均P<0.001];观察组护理后用力肺活量(FVC)、第1秒用力呼气容积(FEV1)高于对照组[(2.87±0.18)L比(2.55±0.12)L、(2.31±0.16)L比(2.05±0.17)L;t=9.355、7.044,均P<0.001];护理后,观察组SAS评分低于对照组[(41.68±3.58)分比(46.82±4.15)分],GQOL-74评分高于对照组[(82.46±6.28)分比(76.59±5.93)分](t=5.931、4.298,均P<0.001);观察组满意度高于对照组[97.50%(39/40)比80.00%(32/40);χ^(2)=4.507,P=0.034]。结论专业医护人员引导下的一体化管理可促进老年重症肺炎患者肺功能恢复,改善患者临床症状,减少患者不良情绪,提高患者生活质量,还能增强患者对医护人员的认可度。

Objective To explore the effect of integrated management guided by professional medical staff for elderly patients with severe pneumonia.Methods Eighty elderly patients with severe pneumonia admitted to First Hospital,Henan University of Science and Technology from July 2020 to July 2022 were divided into a control group and an observation group according to the admission order,with 40 cases in each group.There were 23 males and 17 females in the control group;they were 62-85(73.56±4.15)years old.There were 21 males and 19 females in the observation group;they were 63-87(74.11±4.32)years old.The control group were given routine nursing intervention;in addition,the observation group were given integrated management guided by professional medical staff.The symptom improvement,pulmonary function,scores of Self-Rating Anxiety Scale(SAS)and Comprehensive Quality of Life Questionary-74(GQOL-74),and satisfaction were compared between the two groups.t andχ^(2) tests were applied.Results The times for the disappearance of anhelation,cough,and wheezing sound in the observation group were shorter than those in the control group[(2.86±0.53)d vs.(3.45±0.61)d,(2.67±0.46)d vs.(3.57±0.59)d,and(4.76±0.68)d vs.(6.01±0.73)d;t=4.618,7.608,and 7.924;all P<0.001].After the nursing,the forced vital capacity(FVC)and forced expiratory volume in one second(FEV1)in the observation group were higher than those in the control group[(2.87±0.18)L vs.(2.55±0.12)L and(2.31±0.16)L vs.(2.05±0.17)L;t=9.355 and 7.044;both P<0.001];the score of SAS in the observation group was lower than that in the control group[(41.68±3.58)vs.(46.82±4.15);t=5.931,P<0.001],and the score of GQOL-74 was higher[(82.46±6.28)vs.(76.59±5.93);t=4.298,P<0.001].The satisfaction in the observation group was higher than that in the control group[97.50%(39/40)vs.80.00%(32/40);χ^(2)=4.507,P=0.034].Conclusion Integrated management guided by professional medical staff for elderly patients with severe pneumonia can promote their recovery of pulmonary function,improve their clinical symptoms and quality of life,reduce their bad emotions,and also enhance their recognition to medical staff.