摘要
目的评价专科护士指导的全程精细化护理干预在重症监护病房(ICU)老年重症肺炎患者中的应用效果。方法选取我院2017年11月~2018年11月收治的290例入住IUC的老年重症肺炎患者作为研究对象。按照完全随机化法将患者分为对照组(145例)与观察组(145例)。对照组采用ICU常规护理,观察组在对照组基础上应用专科护士指导的全程精细化护理干预。比较两组住院7d内的死亡率、护理前后的一般自我效能感量表(GSES)评分、住院7d内的并发症总发生率。结果两组的死亡率比较,差异无统计学意义(P>0.05);护理后,观察组的一般自我效能感量表(GSES)评分为(7.65±1.48)分,高于对照组的(6.80±1.35)分,差异有统计学意义(P<0.01),两组的GSES评分均高于护理前,差异有统计学意义(P<0.01);观察组的并发症总发生率为4.14%,低于对照组的10.34%,差异有统计学意义(P<0.05)。结论在ICU老年重症肺炎患者中应用专科护士指导的全程精细化护理干预对死亡率无明显影响,可提高患者的自我效能感、降低并发症发生率。
Objective To evaluate the application effect of full-course fine nursing intervention guided by specialist nurses in elderly patients with severe pneumonia in intensive care unit(ICU).Methods All of 290 elderly patients with severe pneumonia admitted to IUC in our hospital from November 2017 to November 2018 were were selected as the research objects.According to the complete randomization method,the patients were divided into the control group(145 cases)and observation group(145 cases).The control group received routine nursing of ICU,while the observation group received full-course refined nursing intervention guided by specialist nurses on the basis of the control group.The mortality within 7 days of hospitalization,self-efficacy before and after nursing and the total incidence of complications within 7 days of hospitalization were compared between the two groups.Results There was no significant difference in mortality between the two groups(P>0.05).The general self-efficacy scale(GSES)score of the observation group after nursing was(7.65±1.48)points,which was higher than(6.80±1.35)points of the control group,and the difference was statistically significant(P<0.01).GSES scores of the two groups after nursing were higher than those before nursing,and the differences were statistically significant(P<0.01).The total incidence of complications in the observation group was 4.14%,which was lower than 10.34%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of full-course refined nursing intervention guided by specialist nurses in elderly patients with severe pneumonia in ICU has no significant impact on the mortality,which can improve patients′self-efficacy and reduce the incidence of complications.
作者
孟齐
MENG Qi(Intensive Care Unit,Fushun Central Hospital,Liaoning Province,Fushun 113006,China)
出处
《中国当代医药》
2019年第23期237-239,243,共4页
China Modern Medicine
关键词
重症监护病房
重症肺炎
专科护士指导
全程精细化护理干预
Intensive care unit
Severe pneumonia
Specialist nurses guidance
Full-course fine nursing intervention
