Journal of Modern Nursing Medicine
Journal of Modern Nursing Medicine. 2024; 3: (11) ; 10.12208/j.jmnm.20240549 .
总浏览量: 102
江苏省扬州五台山医院 江苏扬州
*通讯作者： 方开琴,单位：江苏省扬州五台山医院 江苏扬州；
目的 探讨振动排痰机在老年肺部感染患者护理中的效果评价。方法 选择我院于2022年1月-2024年6月期间收治的老年肺部感染并痴呆患者60例，将其按随机分组方法分为对照组（30例，采取常规人工叩背排痰方法）和观察组（30例，采取振动排痰机排痰），对两组的临床排痰效果，如患者的血气指标（动脉氧分压、动脉二氧化碳分压、动脉血氧饱和度）、相关症状消失时间（咳嗽、肺啰音、平均血象恢复及住院时间）、症状改善情况以及患者护理满意度进行对比和分析。结果 观察组患者的护理满意度高于对照组（P＜0.05）。观察组患者的动脉氧分压、动脉血氧饱和度水平均高于对照组，动脉二氧化碳分压低于对照组。（P＜0.05）。观察组患者的相关症状消失时间均短于对照组（P＜0.05）。观察组患者的症状改善情况均优于对照组（P＜0.05）。结论 在对老年肺部感染并痴呆患者实施振动排痰机排痰可取得明显的效果，可显著提高患者的护理满意度，改善患者的血气指标与临床症状，有效促进痰液排出，有较高应用价值。
Objective To investigate the effect of vibrating expectoration machine in the nursing of elderly patients with pulmonary infection. Methods A total of 60 elderly patients with pulmonary infection and dementia who were admitted to our hospital from January 2022 to June 2024 were selected and divided into control group (30 cases, with conventional manual percussion expectoration) and observation group (30 cases, with vibrating expectoration machine) , symptom improvement and patient satisfaction with care were compared and analyzed. Results The nursing satisfaction of the observation group was higher than that of the control group (P<0.05). The arterial oxygen partial pressure and arterial oxygen saturation levels in the observation group were higher than those in the control group, and the arterial carbon dioxide partial pressure was lower than that in the control group. (P＜0.05). The disappearance time of related symptoms in the observation group was shorter than that in the control group (P<0.05). The improvement of symptoms in the observation group was better than that in the control group (P<0.05). Conclusion The implementation of vibrating expectoration machine in elderly patients with lung infection and dementia can achieve significant results, which can significantly improve patients' nursing satisfaction, improve patients' blood gas indexes and clinical symptoms, and effectively promote sputum discharge, which has high application value.
[1] 谢静.振动排痰机在老年肺部感染患者中的应用效果及护理对患者临床症状的改善研究[J].临床医药文献电子杂志,2020,7(57):134-135.
[2] 王灵灵,王瑞勤,杜晓松,等.戊乙奎醚雾化吸入结合振动排痰机在脑出血术后肺部感染的应用效果[J].山西医药杂志, 2024(002):053.
[3] 高庆丽.体外振动排痰机辅助排痰对肺癌患者术后肺功能恢复及肺部感染的影响[J].中国医疗器械信息, 2023, 29(10):69-71.
[4] 黄春丽.论振动排痰机佐治支气管扩张并肺部感染疗效观察[J].中文科技期刊数据库(全文版)医药卫生, 2022(1):3.
[5] 郦文泽,汪晓琴,张丽婷,等. 无创呼吸机辅助振动排痰对ICU急性心力衰竭患者心功能指标的影响[J]. 中国中西医结合急救杂志,2024,31(4):442-446.
[6] 闫伟华,许华. 支气管肺泡灌洗联合振动排痰对老年重症肺炎合并呼吸衰竭患者PTX-3水平影响及肺部感染控制[J]. 中国老年学杂志,2021,41(10):2073-2076.
[7] 朱晓倩. 机械振动排痰在老年肺部感染患者排痰中的应用效果[J]. 医疗装备,2021,34(4):174-175.
[8] 虞改雪,李成英,赵宗亚,等.振动排痰机在老年肺部感染患者中的应用效果及护理[J].心理月刊,2019,14(17):134.
[9] 常丽丽.振动排痰机对老年肺内感染患者的应用观察[J].中国医疗器械信息,2020,26(05):118+166.
[10] 王璐.振动排痰机在老年肺部感染患者护理中的应用价值[J].医疗装备,2021,34(20):142-143.