优化个体护理干预对ICU老年重症肺炎患者症状改善时间及并发症发生率的影响分析

Analysis of the Effect of Optimizing Individual Nursing Interventions on the Improvement Time of Symptoms and Complication Rate of Elderly Patients with Severe Pneumonia in ICU

目的:分析对ICU老年重症肺炎患者实施优化个体护理干预的效果及对症状改善时间、并发症发生率的影响。方法:选取2019年1—12月商丘市第一人民医院ICU收治的60例老年重症肺炎患者作为研究对象,并按照随机数表法将其平均分为两组,每组各30例。对照组患者接受常规护理,实验组患者接受优化个体护理,对这两组患者的症状改善时间、住院时间、呼吸机使用时间、并发症发生率及护理满意度进行对比分析。结果:实验组患者的退热时间、咳嗽缓解时间、住院时间以及呼吸机使用时间比对照组患者短,差异有统计学意义(t=8.501、4.558、7.332、8.244,P<0.05)。实验组患者的并发症发生率比对照组患者低,差异有统计学意义(χ^(2)=5.192,P<0.05);实验组患者护理满意度比对照组患者高,差异有统计学意义(χ^(2)=4.320,P<0.05)。结论:ICU老年重症肺炎患者实施优化个体护理干预可以降低并发症的发生率,促进症状的快速改善,提升护理质量。

Objective:To analyze the effect of implementing optimal individual nursing interventions for elderly patients with severe pneumonia in the ICU and the effect on the time to symptom improvement and complication rate.Methods:60 elderly patients with severe pneumonia admitted to the hospital from January to December 2019 were selected as the study population and divided equally into two groups according to the random number table method,with 30 cases in each group.The control group received conventional care and the experimental group received optimized individual care.The time of symptom improvement,length of hospital stay,duration of ventilator use,complication rate and nursing satisfaction of patients in both groups were compared and analyzed.Results:The time to fever reduction,cough relief,hospital stay,and ventilator use were shorter in the experimental group than in the control group,with statistically significant differences(t=8.501,4.558,7.332,8.244,P<0.05).The incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(χ^(2)=5.192,P<0.05).The experimental group had higher nursing satisfaction than the control group,and the difference was statistically significant(χ^(2)=4.320,P<0.05).Conclusion:The implementation of optimal individual nursing interventions for elderly patients with severe pneumonia in the ICU can reduce the incidence of complications,promote rapid improvement of symptoms,and enhance the quality of care.