The effect of hierarchical nursing on patients with severe pneumonia and nursing satisfaction
层级护理对重症肺炎患者及护理满意度的效果

摘要

目的 探究分析重症肺炎患者护理中采取层级护理的效果。方法 参与到本次研究的对象为本院在2020年3月-2021年3月期间收治的78例重症肺炎患者。按照随机数字表法对上述患者进行分组，分为对照组（39例，常规护理），实验组（39例，层级护理）。为了验证层级护理在重症肺炎患者护理中的效果，以护理质量、生活质量、护理纠纷以及并发症发生率进行评价。结果 实验组护理质量相比较对照组较高（P＜0.05）。实验组护患纠纷发生率为5.13%（2/39）；并发症发生率为7.69%（3/39）；对照组护患纠纷发生率为20.51%（8/39）；并发症发生率为28.21%（11/39）。实验组护理纠纷及并发症发生率相比较对照组较低（P＜0.05）。实验组护理满意度为97.44%（38/39）：对照组护理满意度为76.92%（30/39）实验组护理满意度相比较对照组较高（P＜0.05）。上述两组各项指标对比差异均满足统计学含义。结论 在重症肺炎患者护理中采取层级护理的效果较为凸显，能够提升患者的护理质量，降低护患纠纷以及并发症发生率，从而患者对该护理方法的效果较为满意。由此可见，此种护理方法可在临床上推广应用。

Abstract

Objective: To explore and analyze the effect of hierarchical nursing in the nursing of patients with severe pneumonia.
Methods: The subjects participating in this study were 78 patients with severe pneumonia who were admitted to our hospital from March 2020 to March 2021. The above patients were divided into control group (39 cases, routine care) and experimental group (39 cases, hierarchical care) according to the random number table method. In order to verify the effect of tiered nursing in the nursing of patients with severe pneumonia, the quality of nursing, quality of life, nursing disputes and complication rates were evaluated.
Results: The nursing quality of the experimental group was higher than that of the control group (P<0.05). The incidence of nurse-patient disputes in the experimental group was 5.13% (2/39); the incidence of complications was 7.69% (3/39); the incidence of nurse-patient disputes in the control group was 20.51% (8/39); the incidence of complications was 28.21% (11/39). The incidence of nursing disputes and complications in the experimental group was lower than that in the control group (P<0.05). The nursing satisfaction of the experimental group was 97.44% (38/39): the nursing satisfaction of the control group was 76.92% (30/39). The nursing satisfaction of the experimental group was higher than that of the control group (P<0.05). The above-mentioned differences in the indicators between the two groups were all statistically significant.
Conclusion  : The effect of hierarchical nursing in the nursing of patients with severe pneumonia is more prominent, which can improve the nursing quality of patients, reduce nurse-patient disputes and the incidence of complications, so that patients are more satisfied with the effect of this nursing method. It can be seen that this nursing method can be applied in clinical practice.