Study on the impact of critical care team on geriatric severe pneumonia with respiratory failure
危重症专职护理小组对老年重症肺炎合并呼吸衰竭的影响研究

摘要

目的 观察重症肺炎合并呼吸衰竭的114例老年人的病情变化，评估危重症转职小组构建价值。方法 2022年上半年受诊的114例患者均属于重症肺炎合并呼吸衰竭病症，被均匀划分两组，有常规护理组以及专职护理组，记录患者康复情况和并发症的出现情况。结果 专职护理组患者ICU干预平均时间、呼吸机辅助应用平均时间等均小于常规护理组，p<0.05；护理之前，两组患者的动脉血氧分压以及二氧化碳分压数据比较p>0.05。护理之后，专职护理组动脉血氧分压均值为（90.05±6.32）mmHg、二氧化碳分压均值为（35.01±1.11）mmHg，均优于常规护理组，p<0.05；专职护理组患者并发症出现率7.0%，小于常规护理组14.0%，p<0.05。结论 对于患有重症肺炎合并呼吸衰竭的老年人患者，医护人员要选取危重症专职护理小组的干预模式，更好地改善患者血气指标，提高临床治疗安全性。

Abstract

Objective: Observe the condition changes of 114 elderly people with severe pneumonia and respiratory failure, and evaluate the construction value of the critical illness transfer group.
Methods: In the first half of 2022,114 patients were all severe pneumonia combined with respiratory failure, which were evenly divided into two groups, including routine nursing group and professional nursing group, to record the recovery of patients and the occurrence of complications.
Results: The mean time of ICU intervention, mean time of ventilator assistance in the dedicated care group were less than the usual care group, p <0.05; Before care, the data of arterial O and CO2 between the two groups were compared: p> 0.05. After nursing, the mean pressure of arterial oxygen in the dedicated care group was (90.05 ± 6.32) mmHg and the mean pressure of carbon dioxide was (35.01 ± 1.11) mmHg, which were better than those in the usual care group, p <0.05; the occurrence rate of complications in patients in the dedicated care group was 7.0%, less than 14.0% in the usual care group, p <0.05.
Conclusion  : For the elderly patients with severe pneumonia and respiratory failure, the medical staff should select the intervention mode of the critical care team to better improve the blood gas index of the patients and improve the safety of clinical treatment.