优质护理在急性肺血栓栓塞症救护中的临床应用(1)
[摘要]目的 探讨优质护理在急性肺血栓栓塞症救护中的应用效果。方法 以我院2015年1月～2016年1月收治的急性肺血栓栓塞症患者150例为研究对象。根据随机数字表法将其分为观察组和对照组，各75例。统计两组患者的呼吸频率、血压、氧分压，同时比较两组患者的总满意度、住院时间和复发率。结果 观察组的呼吸频率、收缩压、氧分压均优于对照组(P<0.01)。观察组患者的总满意度显著高于对照组(P<0.01)。观察组患者的住院时间明显短于对照组，差异有统计学意义(P<0.01)。观察组的复发率为2.7%，低于对照组的13.3%，差异有统计学意义(P<0.05)。结论 优质护理方案能有效提高急性肺血栓栓塞症的救治效果，值得临床广泛推广。
[关键词]护理模式；急性发病；肺血栓
[中图分类号] R472.2 [文献标识码] A [文章编号] 1674-4721(2017)06(a)-0189-03
[Abstract]Objective To study the application effect of high quality nursing in the rescue of acute pulmonary thromboembolism.Methods 150 patients with acute pulmonary thromboembolism treated in our hospital from January 2015 to January 2016 were chosen and they were randomly divided into the observation group and the control group，each group had 75 cases according to the random number table method.The respiratory rate，blood pressure and oxygen partial pressure of the two groups were counted，and the total satisfaction degree，length of stay and recurrence rate between two groups were compared.Results The respiratory rate，systolic blood pressure and oxygen partial pressure in the observation group were better than those in the control group (P<0.01).The total satisfaction degree of the observation group was significantly higher than that of the control group (P<0.01).The length of stay of the observation group was significantly shorter than that of the control group，the difference was statistically significant (P<0.01).The recurrence rate of the observation group was 2.7%，which was lower than that of the control group (13.3%)，and the difference was statistically significant (P<0.05).Conclusion The high quality nursing program can effectively improve the rescue effect of acute pulmonary thromboembolism，and it is worthy of clinical wide popularization.
[Key words]Nursing model；Acute onset；Pulmonary embolism
肺血栓栓塞癥的发生与人们生活方式不断变化息息相关，近年来有愈发严重的趋势，其中多数患者为急性肺血栓栓塞症[1]。该病症主要是由于来自静脉系统或右心室的血栓阻塞肺动脉或其分支所致的一类疾病，患者发病后多发生呼吸功能障碍，且伴有不同程度的肺循环障碍等[2-3]。该疾病发病率上升快、病情急，成为临床研究的重点和难点[4]。目前针对肺血栓栓塞症治疗的研究较多，均取得较好的临床效果，然而如何在患者救治中，实施合理的护理措施，以期进一步改善患者预后，是目前讨论的热点问题。优质护理强化基础护理，全面落实护理责任制，深化护理专业内涵，整体提升护理服务水平，临床应用与研究均体现出较高的价值[5-6]。本研究以我院收治的急性肺血栓栓塞症患者为研究对象，探讨救治过程中的护理内容，以期提高临床救护质量和患者康复效果，现报道如下。
1资料与方法
1.1一般资料
选取我院2015年1月～2016年1月收治的患者150例为研究对象。所有患者入院后均确诊为急性肺血栓栓塞症。其中男81例，女69例，年龄37～65岁，平均(41.95±10.08)岁。将其根据随机数字表法分为观察组(75例)和对照组(75例)。观察组：男40例，女35例，年龄37～68岁，平均(41.88±10.67)岁；对照组：男41例，女34例，年龄37～69岁，平均(42.04±9.55)岁。两组患者在性别、年龄、疾病情况等方面差异无统计学意义(P>0.05)，具有可比性。所有病例经动脉血气分析配合心电图检查均确诊为急性肺血栓栓塞症；所有患者及家属均知情并自愿参与本研究同时签署知情同意书，同意坚持并完成治疗过程。所有研究内容均经我院医学伦理委员会审查通过。, 百拇医药(吴娟 张会妙)
[关键词]护理模式；急性发病；肺血栓
[中图分类号] R472.2 [文献标识码] A [文章编号] 1674-4721(2017)06(a)-0189-03
[Abstract]Objective To study the application effect of high quality nursing in the rescue of acute pulmonary thromboembolism.Methods 150 patients with acute pulmonary thromboembolism treated in our hospital from January 2015 to January 2016 were chosen and they were randomly divided into the observation group and the control group，each group had 75 cases according to the random number table method.The respiratory rate，blood pressure and oxygen partial pressure of the two groups were counted，and the total satisfaction degree，length of stay and recurrence rate between two groups were compared.Results The respiratory rate，systolic blood pressure and oxygen partial pressure in the observation group were better than those in the control group (P<0.01).The total satisfaction degree of the observation group was significantly higher than that of the control group (P<0.01).The length of stay of the observation group was significantly shorter than that of the control group，the difference was statistically significant (P<0.01).The recurrence rate of the observation group was 2.7%，which was lower than that of the control group (13.3%)，and the difference was statistically significant (P<0.05).Conclusion The high quality nursing program can effectively improve the rescue effect of acute pulmonary thromboembolism，and it is worthy of clinical wide popularization.
[Key words]Nursing model；Acute onset；Pulmonary embolism
肺血栓栓塞癥的发生与人们生活方式不断变化息息相关，近年来有愈发严重的趋势，其中多数患者为急性肺血栓栓塞症[1]。该病症主要是由于来自静脉系统或右心室的血栓阻塞肺动脉或其分支所致的一类疾病，患者发病后多发生呼吸功能障碍，且伴有不同程度的肺循环障碍等[2-3]。该疾病发病率上升快、病情急，成为临床研究的重点和难点[4]。目前针对肺血栓栓塞症治疗的研究较多，均取得较好的临床效果，然而如何在患者救治中，实施合理的护理措施，以期进一步改善患者预后，是目前讨论的热点问题。优质护理强化基础护理，全面落实护理责任制，深化护理专业内涵，整体提升护理服务水平，临床应用与研究均体现出较高的价值[5-6]。本研究以我院收治的急性肺血栓栓塞症患者为研究对象，探讨救治过程中的护理内容，以期提高临床救护质量和患者康复效果，现报道如下。
1资料与方法
1.1一般资料
选取我院2015年1月～2016年1月收治的患者150例为研究对象。所有患者入院后均确诊为急性肺血栓栓塞症。其中男81例，女69例，年龄37～65岁，平均(41.95±10.08)岁。将其根据随机数字表法分为观察组(75例)和对照组(75例)。观察组：男40例，女35例，年龄37～68岁，平均(41.88±10.67)岁；对照组：男41例，女34例，年龄37～69岁，平均(42.04±9.55)岁。两组患者在性别、年龄、疾病情况等方面差异无统计学意义(P>0.05)，具有可比性。所有病例经动脉血气分析配合心电图检查均确诊为急性肺血栓栓塞症；所有患者及家属均知情并自愿参与本研究同时签署知情同意书，同意坚持并完成治疗过程。所有研究内容均经我院医学伦理委员会审查通过。, 百拇医药(吴娟 张会妙)