护理集束对重症肺炎合并呼吸衰竭患者的影响研究
Study on effects of care bundles on patients with severe pneumonia complicated with respiratory failure.
作者信息
Xiao Tingting, Chen Fang, Wan Zhengmin
机构信息
Department of Critical Care Medicine, Hefei Third People's Hospital Hefei, Anhui, P.R. China.
Department of Neurosurgery, Renmin Hospital, Hubei University of Medicine Shiyan 442000, Hubei, P.R. China.
出版信息
Am J Transl Res. 2021 Sep 15;13(9):10942-10949. eCollection 2021.
OBJECTIVE
This study was designed to determine the effects of care bundles on patients with severe pneumonia complicated with respiratory failure and to discuss the adverse reaction rate in prognosis.
METHODS
A total of 64 patients with both severe pneumonia and respiratory failure admitted to the intensive care unit (ICU) of our hospital from January 2019 to December 2020 were enrolled as research objects. These patients were equally divided into a control group and an experimental group in a random manner. The experimental group was given care bundles, while the control group was given conventional nursing. Then the nursing effect, adverse reactions, and nursing satisfaction of the two groups were compared and analyzed.
RESULTS
The experimental group experienced shorter mechanical ventilation time and hospital stay than the control group. After nursing, both groups got apparent improvements on the levels of partial pressure of carbon dioxide (PaCO), partial pressure of oxygen (PaO), and oxygen saturation, with better improvements in the experimental group than those in the control group. In terms of the incidence of ventilator-associated pneumonia (VAP), chest ultrasound imaging, and nursing satisfaction, the experimental group garnered more positive results than the control group (all P<0.05).
CONCLUSIONS
Care bundles can greatly improve the nursing effect on patients with severe pneumonia complicated with respiratory failure. Compared with conventional nursing, it can contribute to considerably shorter mechanical ventilation time and hospital stay, optimal blood gas indexes and oxygen saturation, substantially lower incidence of ventilator-related diseases, and better prognostic recovery effect.
目的
本研究旨在确定护理集束对重症肺炎合并呼吸衰竭患者的影响，并探讨预后不良反应发生率。
方法
选取2019年1月至2020年12月我院重症监护病房（ICU）收治的64例重症肺炎合并呼吸衰竭患者作为研究对象。将这些患者随机等分为对照组和实验组。实验组给予护理集束，对照组给予常规护理。然后比较分析两组的护理效果、不良反应及护理满意度。
结果
实验组机械通气时间和住院时间均短于对照组。护理后，两组患者的二氧化碳分压（PaCO）、氧分压（PaO）及血氧饱和度水平均有明显改善，实验组改善程度优于对照组。在呼吸机相关性肺炎（VAP）发生率、胸部超声成像及护理满意度方面，实验组取得的阳性结果多于对照组（均P<0.05）。
结论
护理集束可显著提高对重症肺炎合并呼吸衰竭患者的护理效果。与常规护理相比，它可使机械通气时间和住院时间显著缩短，血气指标和血氧饱和度更佳，呼吸机相关疾病发生率显著降低，预后恢复效果更好。
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