基于症状管理理论的强化护理对ICU重症肺炎患者的影响

Effect of Intensive Nursing Based on Symptom Management Theory on ICU Patients with Severe Pneumonia

目的:探讨基于症状管理理论的强化护理对重症监护病房(ICU)重症肺炎患者的影响。方法:选取2021年7月—2023年1月河池市人民医院收治的120例ICU重症肺炎患者为研究对象。根据随机数表法将其分为观察组和对照组,各60例。对照组给予常规护理,观察组在对照组基础上给予基于症状管理理论的强化护理。比较两组临床效果,时间指标,并发症,护理前后负性情绪及护理满意度。结果:护理后,观察组总有效率为96.67%,明显高于对照组的85.00%,差异有统计学意义(P<0.05)。观察组机械通气时间、ICU住院时间、住院总时间均明显短于对照组,差异有统计学意义(P<0.01)。观察组并发症发生率为6.67%,明显低于对照组的20.00%,差异有统计学意义(P<0.05)。护理后,两组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于护理前,观察组SAS评分、SAS评分均明显低于对照组,差异有统计学意义(P<0.01)。护理后,观察组护理总满意度为98.33%,明显高于对照组的85.00%,差异有统计学意义(P<0.01)。结论:在ICU重症肺炎患者中实施基于症状管理理论的强化护理,能够有效提高临床疗效,缩短患者的机械通气时间和住院时间,降低并发症发生率,提高患者对护理工作的满意度。

Objective:To explore the effect of intensive nursing based on symptom management theory on Intensive Care Unit(ICU)patients with severe pneumonia.Method:A total of 120 ICU patients with severe pneumonia admitted to Hechi City People's Hospital from July 2021 to January 2023 were selected as the study objects.They were divided into observation group and control group according to random number table method,with 60 cases in each group.The control group was given routine nursing,and the observation group was given intensive nursing based on symptom management theory.The clinical efficacy,time index,complications,negative emotion before and after nursing and nursing satisfaction were compared between the two groups.Result:After nursing,the total effective rate of the observation group was 96.67%,which was significantly higher than 85.00%of the control group,and the difference was statistically significant(P<0.05).The mechanical ventilation time,ICU stay time and total hospital stay time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.01).The incidence of complications in the observation group was 6.67%,which was significantly lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in both groups were lower than those before nursing,and the scores of SAS and SAS in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.01).After nursing,the total nursing satisfaction of the observation group was 98.33%,which was significantly higher than 85.00%of the control group,the difference was statistically significant(P<0.01).Conclusion:Intensive nursing based on symptom management theory in ICU patients with severe pneumonia can effectively improve clinical efficacy,shorten the time of mechanical ventilation and hospitalization of patients,reduce the incidence of complications,and improve patients'satisfaction with nursing work.