Effect of traditional Chinese medicine nursing on the rehabilitation of elderly patients with severe pneumonia
中医特色护理在老年重症肺炎患者康复中的应用效果

摘要

目的 比较中医特色护理方法与常规护理方法针对老年重症肺炎患者治疗及康复中的应用效果。方法 选取2021年6月至2023年6月于我院治疗的120例老年重症肺炎患者，随机分为对照组与观察组，对照组采用常规护理方法，观察组在常规护理方法上加以中医特色护理方法，包括中医特色饮食护理、特色艾灸护理以及特色情志护理等。分析比较两组患者退烧时间、咳嗽消失时间、肺啰音消失时间、住院时间作为恢复情况指标，同时加以干预前及干预一个月后的肺功能指标、血气指标、呼吸力学指标、血常规指标以及心理情况及生活质量评分指标协同评价中医特色护理对老年重症肺炎患者治疗及康复效果比较。结果 恢复情况指标结果显示观察组患者咳嗽消失时间、肺啰音消失时间以及住院时间均显著小于常规护理对照组，但两组退烧时间相比并不具备显著差异。血常规指标显示对照组与观察组在干预后相较于干预前均具有显著改善，但两组之间不具差异性；肺功能相关指标、血气功能相关指标、呼吸力学相关指标以及情绪状况与生活质量相关评分结果显示，对照组与观察组在干预后相较于干预前均具有显著改善，同时干预一个月后观察组改善效果显著优于对照组。结论 中医特色护理可以显著改善老年重症肺炎患者临床相关指标，有助于患者治疗与康复，值得在临床进行推广。

Abstract

Objective To compare the effect of traditional Chinese medicine characteristic nursing and routine nursing on the treatment and rehabilitation of elderly patients with severe pneumonia.
Methods Select 120 elderly patients with severe pneumonia treated in our hospital from June 2021 to June 2023, and randomly divide them into a control group and an observation group. Including TCM characteristic diet care, characteristic moxibustion care and characteristic emotional care, etc. The time of fever reduction, cough disappearance, pulmonary rales disappearance and hospitalization were compared between the two groups as the recovery index. At the same time, the pulmonary function index, blood gas index, respiratory mechanics index, blood routine index, psychological condition and life score index before and after the intervention were used to evaluate the treatment and rehabilitation effect of traditional Chinese medicine characteristic nursing on the elderly patients with severe pneumonia.
Results The recovery index showed that the cough disappearance time, lung rales disappearance time and hospitalization time in the observation group were significantly shorter than those in the routine nursing control group, but there was no significant difference in the fever reduction time between the two groups. The blood routine indexes showed that the control group and the observation group had significant improvement after the intervention compared with before the intervention, but there was no difference between the two groups; The results of pulmonary function related indicators, blood gas function related indicators, respiratory mechanics related indicators, and emotional status and life related scores showed that the control group and the observation group had significant improvement after the intervention compared with before the intervention. At the same time, after one month of intervention, the improvement effect of the observation group was significantly better than that of the control group.
Conclusion   TCM characteristic nursing can significantly improve the clinical related indicators of elderly patients with severe pneumonia, and is helpful for the treatment and rehabilitation of patients. It is worth promoting in clinical practice.