The value of detail nursing in the nursing of severe pneumonia
细节护理在重症肺炎护理中的价值

摘要

目的 分析重症肺炎护理中细节护理的干预效果。方法 选取我院近 2 年（2019 年 8 月-2021 年 9 月）收治的重症肺炎者 80 例，回顾临床资料。将实施细节护理的 40 例患者作为观察组，将实施常规 护理的 40 例患者作为对照组。观察两组护理效果。结果 干预后，观察组患者 SAS 评分（23.16±2.18）、 SDS 评分（25.14±2.16），对照组患者 SAS 评分（38.46±3.26）、SDS 评分（39.41±3.22）。可知观察组心理 状态评分更低，与对照组相比差异有统计学意义（P<0.05）；观察组患者 APACHE II 评分（10.92±2.84）， 对照组患者 APACHE II 评分（18.04±3.25）。可知观察组 APACHE II 评分更低，与对照组相比差异有统计 学意义（P<0.05）；观察组患者并发症率 2.50%，对照组患者并发症率 5.00%。可知两组并发症率相比差异 无统计学意义（P>0.05）。结论 通过在重症肺炎护理中实施细节护理，可有效缓解其情绪，改善症状，减 少并发症的发生，安全有效，使病情得到进一步控制，临床应用价值确切。

Abstract

Objective To analyze the effect of detailed nursing intervention in the nursing of severe pneumonia.
Methods The clinical data of 80 patients with severe pneumonia admitted in our hospital in recent 2 years (August 2019 to September 2021) were reviewed. The 40 patients receiving detailed nursing care were taken as the observation group, and the 40 patients receiving routine nursing care were taken as the control group. Observe the nursing effect of the two groups.
Results After the intervention, SAS score (23.16 ± 2.18) and SDS score (25.14 ± 2.16) of patients in the observation group, SAS score (38.46 ± 3.26) and SDS score (39.41 ± 3.22) of patients in the control group. It can be seen that the psychological status score of the observation group was lower than that of the control group, with a statistically significant difference (P<0.05); The APACHE II score of patients in the observation group was 10.92 ± 2.84, and that of patients in the control group was 18.04 ± 3.25. It can be seen that the APACHE II score of the observation group was lower than that of the control group, with a statistically significant difference (P<0.05); The complication rate was 2.50% in the observation group and 5.00% in the control group. It can be seen that there was no significant difference in the complication rate between the two groups (P>0.05).
Conclusion   The implementation of detailed nursing in the nursing of severe pneumonia can effectively relieve their emotions, improve their symptoms, reduce the occurrence of complications, which is safe and effective, so that the disease can be further controlled, and has definite clinical application value.