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老年肺部感染患者的综合排痰护理及其对呼吸功能的影响

Comprehensive expectoration nursing in elderly patients with pulmonary infection and its influence on respiratory function.

作者信息

Wu Xiaofang, Zhang He, Chen Jiayi

机构信息

Geriatric and General Medicine Department, Nantong First People's Hospital Nantong 226001, Jiangsu Province, China.

Radiological Department, The First Affiliated Hospital of China Medical University Shenyang 110000, Liaoning Province, China.

出版信息

Am J Transl Res. 2021 Nov 15;13(11):12965-12972. eCollection 2021.

Abstract

OBJECTIVE

To investigate the effect of comprehensive expectoration nursing in elderly patients with pulmonary infection and its influence on respiratory function.

METHODS

Clinical data of 88 elderly patients with pulmonary infection treated in our hospital from March 2018 to May 2020 were analyzed retrospectively. During treatment, 40 patients receiving conventional nursing mode were included in the control group (CG), and 48 with comprehensive expectoration nursing were included in the observation group (OG). The number of patients with spontaneous expectoration, assisted expectoration and sputum aspiration one week after nursing, the related indices of blood oxygen and lung function before and after nursing, and the sputum excretion volume, respiratory rate and neutrophils one week after nursing, were compared between the two groups. The hospitalization time, expenses, patients' quality of life after nursing and nursing satisfaction were also compared between the two groups.

RESULTS

Compared with the CG, the hospitalization time and expenses of patients in OG were obviously lower, while the effective rate of sputum excretion was obviously higher after nursing. The blood oxygen, lung function, sputum excretion volume, respiratory rate and neutrophil recovery in OG were obviously better than those in CG. Meanwhile, compared with the CG, the quality of life and nursing satisfaction of patients in OG were obviously higher after nursing.

CONCLUSION

Comprehensive expectoration nursing in elderly patients with pulmonary infection has better effect and is able to effectively improve their respiratory function, quality of life and nursing satisfaction.

摘要

目的

探讨综合排痰护理对老年肺部感染患者的效果及其对呼吸功能的影响。

方法

回顾性分析2018年3月至2020年5月在我院治疗的88例老年肺部感染患者的临床资料。治疗期间,40例接受传统护理模式的患者纳入对照组(CG),48例接受综合排痰护理的患者纳入观察组(OG)。比较两组护理1周后自主排痰、辅助排痰及吸痰患者例数,护理前后血氧及肺功能相关指标,护理1周后痰液排出量、呼吸频率及中性粒细胞情况。同时比较两组住院时间、费用、护理后患者生活质量及护理满意度。

结果

与CG组相比,OG组患者住院时间及费用明显降低,护理后痰液排出有效率明显提高。OG组血氧、肺功能、痰液排出量、呼吸频率及中性粒细胞恢复情况明显优于CG组。同时,与CG组相比,OG组患者护理后生活质量及护理满意度明显更高。

结论

综合排痰护理对老年肺部感染患者效果较好,能有效改善其呼吸功能、生活质量及护理满意度。

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