目标责任制理念下的强化护理干预在社区获得性肺炎患者护理中的应用

Application of intensive nursing intervention under the concept of target responsibility system in the nursing of patients with community-acquired pneumonia

目的探究目标责任制理念下的强化护理干预在社区获得性肺炎患者护理中的应用价值。方法回顾性分析2022年1~12月菏泽市第三人民医院收治的社区获得性肺炎患者68例,根据护理方案的不同将上述研究对象分为对照组(33例)以及观察组(35例)。对照组接受常规护理干预,观察组接受目标责任制理念下的强化护理干预。记录并比较两组干预前后主要临床症状(咳嗽咳痰、气促气短、全身乏力)的症候积分、治疗后对疾病知识的知晓得分、生活质量评分、并发症发生率以及患者满意度。结果干预后,两组咳嗽咳痰、气促气短以及全身乏力的临床症候评分与干预前比较均降低(P<0.05),且观察组低于对照组,差异有统计学意义(P<0.05);观察组患者接受治疗后,对疾病知识知晓得分、生活质量(躯体功能、物质生活、社会功能以及心理功能等)得分均高于对照组,差异有统计学意义(均P<0.05);观察组患者的并发症发生率显著低于对照组、且其对护理服务、诊疗体验、心理干预以及医学宣教的满意度显著高于对照组,差异有统计学意义(均P<0.05)。结论目标责任制理念下的强化护理干预能够改善社区获得性肺炎患者的临床症状,提升患者对疾病认知程度、生活质量以及就医满意度。

ObjectiveTo explore the application value of intensive nursing intervention under the concept of target responsibility system in the nursing of patients with community-acquired pneumonia.MethodsA total of sixty-eight patients with community-acquired pneumonia admitted to Heze Third People's Hospital from January to December 2022 were retrospectively analyzed.According to different nursing plans,the study subjects were divided into control group(33 cases)and observation group(35 cases).The control group received routine nursing intervention,while the observation group received intensive nursing intervention under the concept of target responsibility system.Symptom scores of main clinical symptoms(cough and phlegm,shortness of breath,general fatigue),knowledge of disease after treatment,quality of life score,complication rate and patient satisfaction were recorded and compared between the two groups before and after intervention.ResultsAfter intervention,the clinical symptom scores of cough,phlegm,dyspnea,and general fatigue in both groups were lower than those before intervention,and the observation group was lower than the control group,with statistically significant differences(P<0.05).After treatment,the scores of disease knowledge and quality of life(physical function,material life,social function and psychological function)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The complication rate of patients in the observation group was significantly lower than that in the control group,and their satisfaction with nursing service,diagnosis and treatment experience,psychological intervention and medical education was significantly higher than that in the control group,with statistical significant differences(P<0.05).ConclusionsThe intensive nursing intervention under the target responsibility system can improve the clinical symptoms of community-acquired pneumonia patients,enhance patients'understanding of the disease,improve their quality of life and increase their satisfaction with medical care.