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目的探讨强化心理支持对呼吸内科重症患者的临床效果。方法选择2013年8月—2014年3月间杭州师范大学附属医院呼吸内科收治的112例重症患者为研究对象,采用随机数字法将其分为观察组和对照组,每组56例。其中,对照组仅给予基础护理,观察组在此基础上给予强化心理支持护理。护理前后,对2组患者Pa O2、Pa CO2、呼吸频率、心率指标进行统计,并进行对比分析。结果护理后,2组患者Pa O2水平显著提高,差异有统计学意义(P<0.05),且观察组Pa O2水平[(93.1±11.2)mm Hg]显著高于对照组[(82.4±9.8)mm Hg],差异有统计学意义(P<0.05);护理后,2组Pa CO2、呼吸频率、心率水平显著降低,差异有统计学意义(P<0.05),且观察组Pa CO2、呼吸频率、心率水平[(57.3±7.6)mm Hg、(20.1±3.5)次/min、(87.5±8.2)次/min]显著低于对照组[(66.4±7.4)mm Hg、(23.7±3.7)次/min、(95.1±9.4)次/min],差异有统计学意义(P<0.05)。结论对于呼吸内科重症患者,在密切关注患者病情进展、实施基础护理的基础上,给予强化心理支持护理,可增强患者战胜疾病的信心,促进患者更好的康复。
Objective To investigate the clinical effects of intensive psychological support on severe respiratory patients. Methods One hundred and twenty-two cases of severe patients admitted to Department of Respiratory Medicine, Affiliated Hospital of Hangzhou Normal University from August 2013 to March 2014 were selected as study objects. Random number method was used to divide them into observation group and control group with 56 cases in each group. Among them, the control group only given basic care, the observation group on the basis of this to give intensive psychological support care. Before and after nursing, PaO2, Pa CO2, respiratory rate, heart rate index of two groups were statistically analyzed and compared. Results The level of Pa O2 in the two groups was significantly increased after treatment (P <0.05), and Pa O2 level in the observation group [(93.1 ± 11.2) mm Hg] was significantly higher than that in the control group [(82.4 ± 9.8) mmHg] (P <0.05). After nursing, Pa CO2, respiration rate and heart rate were significantly decreased in both groups (P <0.05), and Pa CO2 and respiratory rate , Heart rate (57.3 ± 7.6) mm Hg, (20.1 ± 3.5) times / min and (87.5 ± 8.2) times / min were significantly lower than those in the control group [(66.4 ± 7.4) mm Hg, (23.7 ± 3.7) times (95.1 ± 9.4) times / min), the difference was statistically significant (P <0.05). Conclusions For patients with severe respiratory medicine, paying close attention to the patient’s condition and implementing basic nursing care will give them enhanced psychological support and care, which can enhance patients’ confidence in overcoming the disease and promote better recovery.