循证护理对重症肺炎气管切开患者术后并发症及睡眠质量的影响

Effect of Evidence-based Nursing on Postoperative Complications and Sleep Qualityin Patients with Severe Pneumonia after Tracheotomy

目的:结合重症肺炎气管切开患者的实际术后护理要点及常规方式,讨论循证护理的可行性。方法:选取2021年10月至2023年7月山东德州市陵城区人民医院收治的重症肺炎患者80例作为研究对象,按照双盲法原则分为观察组和对照组,每组40例。观察组采用循证护理,对照组采用常规护理,对2组生命质量、护理评价、睡眠质量、不良症状进行比较。结果:干预后,观察组患者生活保障工作的落实程度及相关生活指标评分监测中的改善均值均高于对照组,差异均有统计学意义(均P<0.05);观察组体征状态、主观情绪的改善情况及护理工作流程的科学性均优于对照组,差异均有统计学意义(均P<0.05);观察组睡眠质量监测均值及交流中的精神表现力均高于对照组,差异均有统计学意义(均P<0.05);观察组的护理满意度及综合质量评价均高于对照组,差异均有统计学意义(均P<0.05)。结论:循证护理提供了良好、完善的术后医疗服务,确保晚间睡眠情况正常,安全效用更高,且患者预后生活改善显著。

Objective:To discuss the feasibility of evidence-based nursing based on the actual postoperative nursing points and routine methods of patients with severe pneumonia tracheotomy.Methods:Atotal of 80 severe pneumonia patients admitted to Dezhou Lingcheng District People′s Hospital,Shandong Province from October 2021 to July 2023 were selected as the research subjects.They were divided into an observation group and a control group according to the double-blind principle,with 40 cases in each group.The observation group received evidence-based nursing,while the control group received routine nursing.The comparison items were quality of life,nursing evaluation,sleep quality and adverse symptoms.Results:After intervention,the observation group′s implementation of the life guarantee of patients′prognosis and the mean improvement in the score monitoring of related life indicators were higher than those of the control group,and the statistical differences were significant(P s<0.05).After intervention,the improvement of patients′physical signs,subjective emotions and the scientific nature of all nursing work processes under supervision in the observation group were higher than those in the control group,and the statistical differences were significant(P s<0.05).After intervention,the mean value of sleep quality monitoring and mental expression in communication in the observation group were higher than those in the control group,and the statistical differences were significant(P<0.05).The recognition degree and comprehensive quality evaluation of the nursing measure in the observation group after intervention were higher than those in the control group,and the statistical differences were significant(P s<0.05).Conclusion:Evidence-based nursing provides good and perfect postoperative medical services,ensures normal sleep at night,has higher safety and efficacy,and significantly improves patients′prognosis and life.