摘要
目的探讨专项护理干预在重症肺炎合并呼吸衰竭患者中的应用效果。方法选取2020年2月—2022年11月首都医科大学附属北京潞河医院收治的75例重症肺炎合并呼吸衰竭患者为研究对象,根据护理干预方法不同分为观察组(n=39)和对照组(n=36)。对照组采用常规护理干预,观察组患者在对照组基础上采用专项护理干预。比较2组患者干预前后汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分、匹兹堡睡眠质量指数(PSQI)量表评分、世界卫生组织生存质量测定简表(WHOQOL-BREF)评分及干预期间并发症发生情况。结果2组患者干预前HAMA及HAMD评分比较,差异均无统计学意义(P>0.05);2组患者干预后HAMA及HAMD评分均低于干预前,且观察组患者均低于对照组,差异均有统计学意义(P<0.05)。2组患者干预前PSQI量表7个维度评分及总分比较,差异均无统计学意义(P>0.05);2组患者干预后PSQI量表的睡眠持续时间、睡眠效率、入睡所需时间、睡眠质量、促睡眠药物、睡眠障碍、日间功能障碍7个维度评分及总分均低于干预前,且观察组患者均低于对照组,差异均有统计学意义(P<0.05)。2组患者干预前WHOQOL-BREF量表各维度评分比较,差异均无统计学意义(P>0.05);2组患者干预后WHOQOL-BREF量表的生理功能、心理状态、躯体健康、社会功能4个维度评分均高于干预前,且观察组患者均高于对照组,差异均有统计学意义(P<0.05)。观察组患者并发症发生率为7.69%(3/39),低于对照组的27.78%(10/36),差异有统计学意义(χ^(2)=5.271,P=0.022)。结论将专项护理干预应用于重症肺炎合并呼吸衰竭患者的护理中,能有效改善患者的心理状况及睡眠质量,提高患者生活质量,降低并发症的发生风险。
Objective To explore the application effect of specialized nursing intervention in patients with severe pneumonia comorbid with respiratory failure.Methods A total of 75 patients with severe pneumonia comorbid with respiratory failure admitted to Beijing Luhe Hospital,Capital Medical University from February 2020 to November 2022 were selected as the study subjects,who were assigned to an observation group(n=39)and a control group(n=36)following different nursing intervention methods.The control group received routine nursing intervention,while the observation group received special-ized nursing intervention based on the control group.The Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores,Pittsburgh Sleep Quality Index(PSQI)scores,World Health Organization Quality of Life-BREF(WHO-QOL-BREF)scores,and the incidence of complications during the intervention period were compared between the two groups.Results No significant difference was observed in HAMA and HAMD scores between the two groups before inter-vention(P>0.05).After intervention,the HAMA and HAMD scores in both groups were lower than before intervention,and the scores in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).No significant difference was observed in the scores of the 7 subscale and total scores of the PSQI scale between the two groups before intervention(P>0.05).The scores of the subscale(sleep duration,sleep efficiency,sleep latency,sleep quality,sleep medication,sleep disturbances,and daytime dysfunction)and total scores of the PSQI scale were signifi-cantly decreased after intervention,and the scores in the observation group were significantly lower than those in the control group(P<0.05).No significant difference was noted in the scores of each dimension of the WHOQOL-BREF scale be-tween the two groups before intervention(P>0.05).The subscale scores(physical health,psychological status,bodily pain,and social functioning)of the WHOQOL-BREF scale were significantly increased after intervention,and the scores in the observation group were significantly higher than those in the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group[7.69%(3/39)vs.27.78%(10/36);χ^(2)=5.271,P=0.022].Conclusion The application of specialized nursing intervention in the nursing of patients with severe pneumonia comorbid with respiratory failure can effectively promote the patients'psychological status and sleep quality,raise their quality of life,and reduce the risk of complications.
作者
张庆陶
彭丹
孟凡星
张婷
陈亚利
甄鹏
Zhang Qingtao;Peng Dan;Meng Fanxing;Zhang Ting;Chen Yali;Zhen Peng(Department of Infection,Beijing Luhe Hospital,Capital Medical University,Beijing 101149,China)
出处
《保健医学研究与实践》
2024年第1期90-94,共5页
Health Medicine Research and Practice
基金
首都卫生发展科研专项项目(2019-3-4062)。
关键词
重症肺炎
呼吸衰竭
专项护理干预
生活质量
睡眠质量
心理状态
Severe pneumonia
Respiratory failure
Specialized nursing intervention
Quality of life
Sleep quality
Psycho-logical status
