风险预防联合延续性护理对重症肺炎患者自我护理能力及康复效果的影响

Effects of risk prevention combined with continuous nursing on self-care ability and rehabilitation effect of patients with severe pneumonia

目的探讨风险预防联合延续性护理在重症肺炎患者中的应用效果。方法选取2020年1月至2022年1月收治的88例重症肺炎患者为研究对象,根据护理方式的不同将其分为参考组和试验组,各44例。参考组给予常规护理干预,试验组给予风险预防联合延续性护理干预。比较两组的干预效果。结果试验组随访3个月内的肺炎复发率低于参考组(P<0.05);干预后1周,试验组的急性生理与慢性健康评分Ⅱ(APACHEⅡ)评分低于参考组(P<0.05)。干预后,试验组的抑郁、焦虑及压力评分低于参考组(P<0.05)。干预后,试验组的自我护理能力量表(ESCA)各维度评分高于参考组(P<0.05)。试验组的咳嗽消失时间、发热消退时间及憋喘消失时间短于参考组,并发症总发生率低于参考组(P<0.05)。结论风险预防联合延续性护理能够降低重症肺炎患者的疾病风险,减轻负面情绪,有利于提高其自我护理能力,加速患者康复,并可减少并发症及肺炎复发。

Objective To explore the application effect of risk prevention combined with continuous nursing in patients with severe pneumonia.Methods A total of 88 patients with severe pneumonia admitted from January 2020 to January 2022 were selected as the research objects,and the patients were divided into reference group and experimental group according to different nursing methods,with 44 cases in each group.The reference group was given routine nursing intervention,and the experimental group was given risk prevention combined with continuous nursing intervention.The intervention effects of the two groups were compared.Results The recurrence rate of pneumonia in the experimental group was lower than that in the reference group within 3 months of follow-up(P<0.05);one week after intervention,the Acute Physiology and Chronic Health EvaluationⅡ(APACHEⅡ)score of the experimental group was lower than that of the reference group(P<0.05).After intervention,the scores of depression,anxiety and stress in the experimental group were lower than those in the reference group(P<0.05).After intervention,the scores of each dimension of Exercise of Self-Care Agency Scale(ESCA)in the experimental group were higher than those in the reference group(P<0.05).The cough disappearance time,fever regression time and wheezing disappearance time in the experimental group were shorter than those in the reference group,and the total incidence of complications was lower than that in the reference group(P<0.05).Conclusion Risk prevention combined with continuous nursing can reduce the risk of disease in patients with severe pneumonia,reduce the negative emotions,improve the self-care ability of patients,accelerate the recovery of patients,and reduce complications and recurrence of pneumonia.