专职化护理小组模式对急性肺血栓栓塞症患者血气指标及并发症的影响

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Abstract Objective To explore the effect of specialized nursing group mode on blood gas index and complications of patients with acute pulmonary thromboembolism. Methods A total of 167 patients with acute pulmonary thromboembolism admitted to the East Hospital of Qingdao Municipal Hospital from January 2017 to January 2021 were selected as the study subjects. All 167 patients received conventional anticoagulant and thrombolytic therapy during hospitalization, and they were divided into study group (83 cases) and control group (84 cases) according to random number table method. The control group received routine nursing means for daily nursing, the study group received full-time nursing group mode for nursing, intervention of both groups for four weeks. The arterial oxygen partial pressure (PaO2), arterial carbon dioxide partial pressure (PaCO2), alveolar gas-arterial oxygen partial pressure difference (P [A-a] O2), clinical indicators (respiratory rate, heart rate, systolic blood pressure, diastolic blood pressure), complications and the satisfaction of patients’ family members with two different nursing modes were compared between the two groups before and after intervention. Results Before intervention, there were no significant differences in PaO2, PaCO2, P (A-a) O2, respiratiory rate, heart rate, systolic blood pressure, and diastolic blood pressure between the two groups (P > 0.05). After intervention, PaO2 values of the two groups were higher than those before intervention, and the study group was higher than that in the control group, while PaCO2 and P (A-a) O2 values were lower than those before intervention, and the study group was lower than the control group, the differences were statistically significant (P ＜ 0.05). After intervention, respiratiory rate and heart rate of the two groups were lower than before intervention, and the study group was lower than the control group, the differences were statistically significant (P ＜ 0.05), systolic and diastolic blood pressure were higher than before intervention, and the study group was higher than the control group, the differences were statistically significant (P ＜ 0.05). After intervention, the incidence of adverse reactions in the study group was lower than that in the control group (P ＜ 0.05). After intervention, nursing satisfaction in the study group was higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The professional nursing group mode for patients with acute pulmonary thromboembolism can effectively improve the clinical symptoms of patients, reduce the incidence of complications, but also contribute to improve the nursing satisfaction of patients’ family members.

Key words： Acute pulmonary thromboembolism Professional nursing group mode Blood gas index Complications

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	WANG Sumei WANG Ruihong ZHANG Jiajia▲

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WANG Sumei WANG Ruihong ZHANG Jiajia▲. Effect of professional nursing group mode on blood gas index and complications in patients with acute pulmonary thromboembolism[J]. 中国医药导报, 2022, 19(15): 167-170,178.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I15/167

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