层级链式护理联合振动排痰仪在重症肺炎患者中的应用效果

doi:10.3760/cma.j.cn441417-20250121-13031

摘要/Abstract

摘要：

目的　观察层级链式护理联合振动排痰仪在重症肺炎患者中的应用效果。方法　本研究为前瞻性研究，选取2022年8月至2024年8月期间九江市第一人民医院收治的86例重症肺炎患者，依据随机数字表法分为两组，各43例。对照组男25例、女18例，年龄（64.02±4.67）岁，病程（3.31±0.30）年，行常规护理及叩背式排痰干预。观察组男23例、女20例，年龄（63.85±4.62）岁，病程（3.25±0.34）年，行层级链式护理联合振动排痰仪干预。两组均连续干预5 d。比较两组临床症状改善时间、日排痰量、肺功能指标［用力肺活量（FVC）、第1秒用力呼气量（FEV1）、最大通气量（MVV）］、护理满意度。统计学方法采用t检验，χ²检验。结果　观察组的退热、肺啰音消失、咳嗽消失时间分别为（2.57±0.38、8.85±0.54、6.35±0.48）d，均短于对照组的（3.64±0.52、10.76±0.76、8.52±0.62）d，日排痰量高于对照组［（34.28±3.79）ml比（29.86±2.85）ml］，上述指标差异均有统计学意义（均P<0.05）。干预5 d后，观察组FVC、FEV1、MVV分别为（2.71±0.46、2.03±0.37、68.58±6.46）L，对照组分别为（2.48±0.38、1.72±0.28、58.62±5.37）L，差异均有统计学意义（均P<0.05）。观察组的护理总满意度高于对照组［95.35%（41/43）比79.07%（34/43）］，差异有统计学意义（χ²=5.108，P=0.024）。结论　重症肺炎患者实施层级链式护理联合振动排痰仪干预，可改善患者的临床症状及肺功能，促进痰液排出，提高护理满意度。

关键词:

肺炎, 重症, 层级链式护理, 振动排痰仪, 肺功能

Abstract:

Objective　To observe the application effect of hierarchical chain nursing combined with vibration sputum elimination in patients with severe pneumonia. Methods　In a prospective study, 86 patients with severe pneumonia admitted to Jiujiang First People's Hospital from August 2022 to August 2024 were selected and divided into two groups of 43 each according to the random number table method. The control group included 25 males and 18 females, aged (64.02±4.67) years and a disease duration of (3.31±0.30) years, receiving routine nursing care and percussion-based sputum clearance. The observation group consisted of 23 males and 20 females, aged (63.85±4.62) years and a disease duration of (3.25±0.34) years, receiving hierarchical chain nursing combined with a vibrating sputum clearance device. Both groups underwent continuous intervention for 5 days. Clinical symptom improvement times, daily sputum volume, pulmonary function indicators [forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), maximum voluntary ventilation (MVV)], and nursing satisfaction were compared. Statistical methods included t tests and χ² tests. Results　In the observation group, the time to fever resolution, disappearance of lung rales, and cough resolution were (2.57±0.38, 8.85±0.54, 6.35±0.48) d, all shorter than those in the control group [(3.64±0.52, 10.76±0.76, 8.52±0.62) d]. The daily sputum volume in the observation group was higher than that in the control group [(34.28±3.79) ml vs. (29.86±2.85) ml], with all differences being statistically significant (all P<0.05). After 5 days of intervention, the FVC, FEV1, and MVV in the observation group were (2.71±0.46, 2.03±0.37, 68.58±6.46) L, compared to (2.48±0.38, 1.72±0.28, 58.62±5.37) L in the control group, with significant differences (all P<0.05). The overall nursing satisfaction rate in the observation group was higher than that in the control group [95.35% (41/43) vs. 79.07% (34/43)], with a statistically significant difference (χ²=5.108, P=0.024). Conclusion　The intervention of cascade nursing combined with vibration sputum elimination is beneficial to promote expectoration, improve lung function and clinical symptoms, and improve nursing satisfaction in patients with severe pneumonia.

Key words: Pneumonia, , Severe cases, , Hierarchical chain nursing, , Vibration sputum elimination, , Lung function

殷红英叶佳玮.

层级链式护理联合振动排痰仪在重症肺炎患者中的应用效果 [J]. 国际医药卫生导报, 2025, 31(13): 2264-2268.

Yin Hongying, Ye Jiawei.

Application effect of hierarchical chain nursing combined with vibration sputum elimination in patients with severe pneumonia [J]. International Medicine and Health Guidance News, 2025, 31(13): 2264-2268.

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