护理风险管理在急性左心衰竭合并肺部感染患者中的应用

Application of Nursing Risk Management in Patients with Acute Left Heart Failure Combined with Pulmonary Infection

目的探讨急性左心衰竭合并肺部感染患者应用护理风险管理的临床效果,以期为日后临床制定护理方案提供参考。方法选取鹤壁煤业(集团)有限责任公司总医院2021年5月至2023年5月收入的86例急性左心衰竭合并肺部感染患者进行回顾性分析,依据护理管理措施的不同分为对照组与观察组,各43例,对照组接受常规护理管理措施,观察组基于此接受护理风险管理措施,比较两组患者实验室检查结果、临床症状与体征的变化,护理质量、病理和健康状况及风险事件。结果观察组患者实验室检查结果恢复、临床症状与体征改善时间均短于对照组,护理质量各项评分均高于对照组,且管理后急性生理学与慢性健康状况Ⅱ(APACHEⅡ)评分、风险事件发生率均低于对照组,差异均有统计学意义(P<0.05)。结论对于急性左心衰竭合并肺部感染患者开展护理风险管理具有积极意义,可有效改善临床症状,提升护理质量,降低风险事件发生率,具有临床应用价值。

Objective To explore the clinical effect of nursing risk management in patients with acute left heart failure combined with pulmonary infection,aiming to provide references for future clinical nursing plans.Methods A retrospective analysis was conducted on 86 patients with acute left heart failure combined with pulmonary infection admitted to the General Hospital of Hebi Coal(Group)Co.,Ltd.from May 2021 to May 2023.Patients were divided into a control group and an observation group,with 43 patients in each group.The control group received routine nursing management,while the observation group received nursing risk management measures in addition to routine care.Laboratory test results,clinical symptoms and signs,nursing quality,pathological and health status,and risk events were compared between the two groups.Results The observation group showed faster recovery in laboratory test results and improvement in clinical symptoms and signs compared to the control group.Nursing quality scores were higher in the observation group,and the Acute Physiology and Chronic Health EvaluationⅡ(APACHEⅡ)scores and incidence of risk events were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion Implementing nursing risk management for patients with acute left heart failure combined with pulmonary infection has positive significance.It can effectively improve clinical symptoms,enhance nursing quality,and reduce the incidence of risk events,demonstrating clinical application value.