Applica tion of targeted nursing under the intensive care goal strategy for patients with acute respiratory distress syndrome combined with pulmonary infection

Jiang Dandan; Yu Miao

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Applica tion of targeted nursing under the intensive care goal strategy for patients with acute respiratory distress syndrome combined with pulmonary infection

更新时间：2022-11-04

- Applica tion of targeted nursing under the intensive care goal strategy for patients with acute respiratory distress syndrome combined with pulmonary infection
- Health Medicine Research and Practice Vol. 19, Issue 2, Pages: 131-133(2022)
- 作者机构：
  
  周口市郸城县人民医院呼吸与危重症医学科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R473.5
- Published：2022，
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Jiang Dandan, Yu Miao. Applica tion of targeted nursing under the intensive care goal strategy for patients with acute respiratory distress syndrome combined with pulmonary infection. [J]. Health Medicine Research and Practice 19(2):131-133(2022)
DOI：

Jiang Dandan, Yu Miao. Applica tion of targeted nursing under the intensive care goal strategy for patients with acute respiratory distress syndrome combined with pulmonary infection. [J]. Health Medicine Research and Practice 19(2):131-133(2022) DOI：

摘要

目的探讨急诊目标策略下的针对性护理干预在急性呼吸窘迫综合征合并肺部感染患者中的应用价值。方法选取2018年6月—2020年12月河南省某医院收治的92例急性呼吸窘迫综合征合并肺部感染患者

采用随机数字表法分为研究组和对照组

每组46例。对照组患者采用常规护理

研究组患者采用急诊目标策略下的针对性护理

比较2组患者护理干预前后抑郁自评量表(SDS)及焦虑自评量表(SAS)评分、呼吸功能[呼气末正压(PEEP)、动脉血氧饱和度(Sa O2)、氧合指数(Pa O2/Fi O2)]以及器官功能(Murray及Marshll评分)。结果2组患者护理干预后SAS及SDS评分均低于干预前

且研究组低于对照组

差异均有统计学意义(P<0.05)。2组患者护理干预后PEEP水平低于干预前且研究组低于对照组

Sa O2、Pa O2/Fi O2水平高于干预前且研究组高于对照组

差异均有统计学意义(P<0.05)。2组患者护理干预后Murray及Marshll评分低于干预前

且研究组低于对照组

差异均有统计学意义(P<0.05)。结论急诊目标策略下的针对性护理用于急性呼吸窘迫综合征合并肺部感染患者

可有效改善患者呼吸功能与器官功能

减轻患者负面情绪。

Abstract

Objective To explore the application value of targeted nursing interventions under the intensive care goal strategy for patients with acute respiratory distress syndrome combined with pulmonary infection. Methods Ninety-two patients with acute respiratory distress syndrome combined with pulmonary infection admitted to a hospital in Henan Province from June 2018 to December 2020 were selected and divided into a study group and a control group using the random number table method

with 46 cases in each group. Patients in the control group received conventional care and patients in the study group were given targeted nursing under the intensive care goal strategy. The scores of the self-rating depression scale（SDS） and self-rating anxiety scale（SAS）

respiratory function [positive end-expiratory pressure（PEEP）

arterial oxygen saturation（Sa O2）

oxygenation index（Pa O2/Fi O2）] and organ function（Murray and Marshall scores） were compared before and after the nursing intervention between the two groups. Results After nursing intervention

the SAS and SDS scores of patients in both groups were lower than before the intervention

and they were lower in the study group than in the control group

and the differences were statistically significant（P<0.05）. The PEEP level of patients in both groups was lower than before the intervention and lower in the study group than in the control group

and the Sa O2 and Pa O2/Fi O2 levels were higher than before the intervention and higher in the study group than in the control group

all with statistically significant differences（P<0.05）. The Murray and Marshall scores were lower in both groups than before the intervention

and those in the study group were lower than those in the control group

with statistically significant differences（P <0.05）. Conclusion Targeted nursing under the intensive care goal strategy for patients with acute respiratory distress syndrome combined with pulmonary infection can effectively improve respiratory and organ functions and reduce patients’ negative emotions.

关键词

急诊目标策略针对性护理急性呼吸窘迫综合征呼吸功能

Keywords

Intensive care goal strategyTargeted nursingAcute respiratory distress syndromeRespiratory function

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