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目的观察转出过渡护理对重症加强护理病房(ICU)重症慢性阻塞性肺疾病(COPD)患者的临床症状、重返ICU发生率及护理满意度的影响。方法选取福建医科大学附属第一医院2016年1月—2016年12月66例从ICU病房转出至呼吸内科病房的重症COPD患者,按照时间顺序分为对照组和观察组,每组33例。对照组予以基础护理,观察组成立转出过渡护理小组,对患者进行科学的护理,两组护理1周后比较临床症状、重返ICU发生率及护理满意度。结果与对照组护理后比较,观察组呼吸顺畅、动脉血氧分压(Pa O2)、血氧饱和度(Sp O2)改善明显(P<0.05),重返ICU的发生率(3.03%)低于对照组(P<0.05),且患者对医护人员的护理满意度(93.94%)明显高于对照组(P<0.05)。结论转出过渡护理对ICU重症患者的临床症状有所改善,重返ICU的发生率降低,对护理人员的满意度提高。
Objective To observe the effect of transition nursing on the clinical symptoms, the incidence of ICU re-entry and nursing satisfaction in intensive care unit (ICU) patients with severe chronic obstructive pulmonary disease (COPD). Methods From January 2016 to December 2016, 66 patients with severe COPD transferred from ICU ward to respiratory medical ward were divided into control group and observation group according to time sequence, with 33 cases in each group. The control group was given basic nursing care. The observation group was set up to turn out the transitional nursing group to carry out scientific nursing for the patients. After one week of nursing, the clinical symptoms, the incidence of returning to the ICU and the nursing satisfaction were compared. Results Compared with the control group, the observation group had smoother breathing, significantly improved Pa O2 and Sp O2 (P <0.05), and the rate of return to ICU (3.03%) was lower In the control group (P <0.05), the satisfaction rate of nursing staff (93.94%) was significantly higher than that of the control group (P <0.05). Conclusions The transitional nursing care has improved the clinical symptoms of ICU critically ill patients, reduced the incidence of ICU re-entry, and improved the satisfaction of nursing staff.