护理干预对老年重症肺炎合并呼吸机相关性肺炎患者预后的影响及抑郁、焦虑评分影响

Effect of nursing intervention on the prognosis of elderly patients with severe pneumonia combined with ventilator-associated pneumonia and the score of depression and anxiety

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(2)
作者
作者单位

郑州大学第二附属医院RICU病区 ;

摘要
【摘要】目的:研究护理干预对老年重症肺炎合并呼吸机相关性肺炎患者预后的影响及抑郁、焦虑评分影响。方法:根据随机数字表法将2018年2月至2021年2月期间本院接收的老年重症肺炎合并呼吸机相关性肺炎患者76例分为两组,对照组38例进行常规护理,观察组38例实施综合护理干预。将两组的焦虑抑郁评分、血气分析指标、肺功能指标、并发症发生情况、呼吸机使用时间、住院时间、护理满意度进行比对。结果:观察组患者干预后的SAS评分、SDS评分、PaCO2、PEEPi低于对照组,干预后的PaO2、SaPO2、PEF均高于对照组,差异具有统计学意义(P<0.05);观察组患者的并发症发生率低于对照组,呼吸机使用时间、住院时间短于对照组,护理满意度高于对照组,差异具有统计学意义(P<0.05)。结论:对老年重症肺炎合并呼吸机相关性肺炎患者实施综合护理干预有助于缓解其负面情绪,较好地改善血气分析指标和肺功能,可获得良好的预后效果。
Abstract
[Abstract] Objective: To study the effect of nursing intervention on prognosis and depression and anxiety score of elderly patients with severe pneumonia combined with ventilator-associated pneumonia. Methods: According to the method of random digital table, 76 elderly patients with severe pneumonia and ventilator-associated pneumonia received by our hospital from February 2018 to February 2021 were divided into two groups, 38 patients in the control group were given routine nursing and 38 patients in the observation group were treated with comprehensive nursing intervention. The anxiety and depression scores, blood gas analysis indexes, lung function indexes, complications, ventilator usage time, hospitalization time and nursing satisfaction were compared between the two groups. Results: The SAS score, SDS score, PaCO2 and PEEPi of the observation group were lower than that of the control group, and PaO2, sapo2 and PEF were higher in the dry prognosis group than in the control group, the difference was statistically significant (P<0.05); The incidence of complications in the observation group was lower than that of the control group, the time of ventilator use and hospitalization time were shorter than that of the control group, and the nursing satisfaction was higher than that of the control group, the difference was statistically significant (P<0.05). Conclusion: Comprehensive nursing intervention for elderly patients with severe pneumonia combined with ventilator-associated pneumonia can alleviate their negative emotions, improve blood gas analysis index and lung function, and can achieve good prognosis.
关键词
【关键词】:老年;重症肺炎;呼吸机相关性肺炎;护理干预;预后
KeyWord
[Key words]: old age; Severe pneumonia; Ventilator-associated pneumonia; Nursing intervention; prognosis
基金项目
页码 376-380
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胡玉守*. 护理干预对老年重症肺炎合并呼吸机相关性肺炎患者预后的影响及抑郁、焦虑评分影响 [J]. 国际精神病学杂志. 2022; 49; (2). 376 - 380.

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