集束化护理在重症肺炎无创机械通气患者中的应用研究

Research on the Application of Cluster Nurs-ing in Non-Invasive Mechanical Ventilation Patients with Severe Pneumonia

摘要: 目的：本研究客观的探讨集束化护理在重症肺炎患者无创机械通气护理中的护理效果。方法：选取2022年5月至2022年11月期间在我院呼吸重症监护室(RICU)接受治疗的79例重症肺炎患者，其中39例(对照组)接受常规护理，40例(研究组)接受集束化护理。观察并比较两组治疗相关指标(无创机械通气时间和住院费用)、血氧饱和度(SpO₂)、动脉血氧分压(PaO₂)、动脉血二氧化碳分压(PaCO₂)以及pH值和治疗总有效率、面部损伤发生率、自发性气胸发生率等。结果：与对照组相比，研究组的无创机械通气时间、住院费用、血氧饱和度(SpO₂)、动脉血氧分压(PaO2)显著低于对照组。结论：以上结果表明，集束化护理在重症肺炎无创机械通气护理中的护理应用效果显著，可提高患者的治疗效率、恢复速度等，促进患者康复。

Abstract: Objective: To elucidate the nursing care application effect of cluster management in noninvasive ventilator nursing care of patients with severe pneumonia. Methods: A total of 79 severe patients with severe pneumonia who received treatment in our hospital between May, 2022 and November, 2022 were included, including 39 cases (control group) treated with routine nursing and 40 cases (research group) treated with cluster management. The treatment-related indexes (mechanical ventilation time and hospitalization expenses), SpO₂, PaO₂, PaCO₂ and pH value were observed and compared between the two groups. Results: Statistically shorter time of mechanical ventilation was found in the research group compared with the control group. In addition, the research group showed significantly lower hospitalization expenses and significantly higher SpO₂, PaO₂, than the control group. Conclusion: The above results indicate the nursing care application effect of cluster management in noninvasive ventilator nursing of severe pneumonia, which can enhance the nurs-ing care efficacy and facilitate their recovery.