优化个体化护理提高重症监护病房重症肺炎患者的康复和减少并发症。

IF 1.6 4区 生物学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY
Organogenesis Pub Date : 2025-12-01 Epub Date: 2025-04-07 DOI:10.1080/15476278.2025.2489670
Linjuan Wu, Jingchuan Lin
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引用次数: 0

摘要

目的:评价优化的个性化护理干预对重症肺炎重症监护病房(ICU)患者临床预后的影响。方法:将76例重症肺炎患者随机分为对照组和实验组。两组均接受常规护理。在此基础上,实验组接受优化的个体化护理。护理干预后,评估临床结局、呼吸功能、凝血功能、急性生理与慢性健康评估II (APACHE II)评分、圣乔治呼吸问题问卷(SGRQ)评分,并统计并发症和死亡率。结果:干预后,实验组患者退烧时间、白细胞计数恢复时间、出院时间、ICU住院时间均较对照组缩短,氧合指数升高,快速浅呼吸指数、呼吸频率、活化部分凝血活酶时间、凝血酶原时间、纤维蛋白原、d -二聚体水平降低,APACHEⅱ评分和SGRQ评分降低(p < 0.05)。实施优化的个性化护理可显著提高重症肺炎ICU患者的康复率,减少并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Optimized Individualized Nursing Improves Recovery and Reduces Complications in ICU Patients with Severe Pneumonia.

Objective: This study evaluates the effectiveness of optimized individualized nursing interventions on clinical outcomes in intensive care unit (ICU) patients with severe pneumonia.

Methods: In this randomized controlled trial, 76 patients with severe pneumonia were randomized into a control group and an experimental group. Both groups received routine nursing care. On this basis, the experimental group received optimized individualized nursing. After the nursing intervention, clinical outcomes, respiratory function, coagulation function, Acute Physiology and Chronic Health Evaluation II (APACHE II) score, and St. George's Respiratory Problems Questionnaire (SGRQ) score were assessed, and the complication and mortality rates were counted.

Results: After the intervention, compared with the control group, the experimental group exhibited shorter times of fever reduction, white blood cell count recovery, and off-boarding and ICU stay, higher oxygenation index, lower rapid shallow breathing index, respiratory rate, activated partial thromboplastin time, prothrombin time, fibrinogen, and D-Dimer levels, lower APACHE II scores and SGRQ scores (p < 0.05). Additionally, the experimental group possessed a lower complication rate and mortality rate than the control group (p < 0.05).

Conclusion: Implementing optimized individualized nursing can significantly enhance recovery and reduce complications in ICU patients with severe pneumonia.

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来源期刊
Organogenesis
Organogenesis BIOCHEMISTRY & MOLECULAR BIOLOGY-DEVELOPMENTAL BIOLOGY
CiteScore
4.10
自引率
4.30%
发文量
6
审稿时长
>12 weeks
期刊介绍: Organogenesis is a peer-reviewed journal, available in print and online, that publishes significant advances on all aspects of organ development. The journal covers organogenesis in all multi-cellular organisms and also includes research into tissue engineering, artificial organs and organ substitutes. The overriding criteria for publication in Organogenesis are originality, scientific merit and general interest. The audience of the journal consists primarily of researchers and advanced students of anatomy, developmental biology and tissue engineering. The emphasis of the journal is on experimental papers (full-length and brief communications), but it will also publish reviews, hypotheses and commentaries. The Editors encourage the submission of addenda, which are essentially auto-commentaries on significant research recently published elsewhere with additional insights, new interpretations or speculations on a relevant topic. If you have interesting data or an original hypothesis about organ development or artificial organs, please send a pre-submission inquiry to the Editor-in-Chief. You will normally receive a reply within days. All manuscripts will be subjected to peer review, and accepted manuscripts will be posted to the electronic site of the journal immediately and will appear in print at the earliest opportunity thereafter.
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