层级护理模式治疗ICU重症肺炎患者的临床效果及对预后的影响分析

Analysis of Clinical Effect and Prognosis of ICU Patients with Severe Pneumonia Treated with Hierarchical Nursing Mode

目的:探究层级护理模式治疗重症监护室(ICU)重症肺炎患者的临床效果及对预后的影响。方法:回顾性分析2022年5月—2023年6月合肥市第一人民医院ICU收治的142例重症肺炎患者的临床资料,依据护理模式的不同,分为常规组与试验组,各71例。常规组实施ICU常规护理模式,试验组实施层级护理模式。比较两组呼吸功能指标、临床疗效、急性生理与慢性健康Ⅱ(APACHEⅡ)评分及生活质量评分。结果:干预后,试验组每分钟通气量、浅快呼吸指数、氧合指数、呼吸次数均低于常规组,差异均有统计学意义(P<0.05)。试验组治疗总有效率为94.37%,高于常规组的83.10%,差异有统计学意义(P<0.05)。干预后,试验组预测病死率、APACHEⅡ评分均低于常规组,差异均有统计学意义(P<0.05)。干预后,试验组生活质量、病情复发、活动受限评分均高于常规组,差异均有统计学意义(P<0.05)。结论:层级护理模式干预能够提升ICU重症肺炎患者的呼吸功能与临床疗效,改善APACHEⅡ评分,提高生活质量。

Objective:To explore the clinical effect and prognosis of patients with severe pneumonia in intensive care unit(ICU)treated by hierarchical nursing mode.Method:Clinical data of 142 patients with severe pneumonia admitted to ICU of the First People's Hospital of Hefei from May 2022 to June 2023 were retrospectively analyzed.According to different nursing modes,they were divided into conventional group and experimental group,with 71 cases in each group.The conventional group implemented ICU standard nursing mode,and the experimental group implemented hierarchical nursing mode.Respiratory function index,clinical efficacy,acute physiological and chronic health evaluationⅡ(APACHEⅡ)score and quality of life score were compared between two groups.Result:After intervention,the ventilation per minute,shallow fast respiration index,oxygenation index,and the number of breaths in the experimental group were lower than those in the conventional group,the differences were all statistically significant(P<0.05).The total effective rate of experimental group was 94.37%,which was higher than 83.10%of conventional group,the difference was statistically significant(P<0.05).After intervention,the predicted case fatality rate and APACHEⅡscore of experimental group were lower than those of conventional group,the differences were all statistically significant(P<0.05).After intervention,the scores of quality of life,disease recurrence and activity restriction in experimental groups were higher than those in conventional group,the differences were all statistically significant(P<0.05).Conclusion:The intervention of hierarchical nursing mode can improve the respiratory function and clinical efficacy of ICU patients with severe pneumonia,improve the APACHEⅡscore,and improve the quality of life.