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目的探讨综合护理干预在呼吸内科重症患者中的应用的临床效果。方法选取于我院就诊的80例呼吸内科重症患者作为研究对象,随机分为对照组和观察组,每组40例,对照组进行常规护理,观察组在对照组的基础上行综合护理干预,干预前后记录两组患者PaO_2、PaCO_2、心率及呼吸等指标的变化;综合护理干预后,采用SAS评价焦虑,SDS评价抑郁。结果护理干预后,两组PaO_2升高,PaCO_2降低,观察组改变效果明显优于对照组(P<0.05);两组呼吸频次减少、心率减慢,且观察组明显优于对照组(P<0.05);护理干预后,观察组SAS和SDS评分均明显低于对照组(P<0.05)。结论综合护理干预可以有效改善呼吸内科重症患者心理状况和预后,对患者临床症状具有有效改善作用。
Objective To explore the clinical effect of comprehensive nursing intervention in severe respiratory patients. Methods Eighty patients with severe respiratory diseases in our hospital were selected as study subjects and randomly divided into control group and observation group, 40 cases in each group. The control group received routine nursing. The observation group received comprehensive nursing intervention on the basis of the control group. PaO2, PaCO2, heart rate and respiration were recorded before and after treatment in both groups. After comprehensive nursing intervention, SAS was used to evaluate anxiety and SDS to evaluate depression. Results After nursing intervention, the PaO_2 and PaCO_2 in both groups were decreased, and the changes in the observation group were significantly better than those in the control group (P <0.05). The respiration frequency and heart rate of both groups were decreased, and the observation group was significantly better than the control group (P < 0.05). After nursing intervention, SAS and SDS scores in the observation group were significantly lower than those in the control group (P <0.05). Conclusion Comprehensive nursing intervention can effectively improve the psychiatric status and prognosis of patients with severe respiratory diseases, which can effectively improve the clinical symptoms of patients.