曹玉萍

[摘要] 目的 探討护理目标管理在重症肺炎患者机械通气中的应用效果。 方法 将我院2015年4月～2016年8月收治的80例重症肺炎患者作为实验对象，随机分为观察组与对照组，各40例，两组均实施机械通气治疗，对照组治疗过程中使用常规护理，观察组治疗中使用护理目标管理，比较分析两组患者临床治疗效果、不良反应发生率及心理状态评分等。 结果 观察组治疗总有效率为90.00%（36/40），对照组为57.50%（23/40），观察组显著高于对照组（P<0.05）；观察组治疗护理后SAS、SDS评分分别为（38.91±5.26）分、（41.14±5.23）分，对照组分别为（48.75±5.66）分、（48.05±5.95）分，对照组显著高于观察组，差异具有统计学意义（P<0.05）；观察组患者住院时间、机械通气时间及不良反应发生率均明显优于对照组，差异有统计学意义（P<0.05）。 结论 护理目标管理在重症肺炎患者机械通气中的应用效果较好，能有效提高患者治疗有效率，降低不良反应发生率，并有效改善患者心理及生活状况，值得临床使用与推广。

[关键词] 护理目标管理；重症肺炎；机械通气；应用效果

[中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701（2017）26-0158-03

Application effect of objective of nursing management on mechanical ventilation of patients with severe pneumonia

CAO Yuping

ICU， the Second Peoples Hospital of Jingdezhen City in Jiangxi Province， Jingdezhen 333000， China

[Abstract] Objective To explore the application effect of objective of nursing management on mechanical ventilation in the patients with severe pneumonia. Methods A total of 80 patients with severe pneumonia who were admitted to our hospital from April 2015 to August 2016 were selected as the study subjects. The patients were randomly divided into observation group and control group， with 40 patients in each group. Both groups were given mechanical ventilation. In the control group， routine care was used in the course of treatment. In the observation group， objective of nursing management was used in the course of treatment. The clinical curative effect， incidence rate of adverse reactions and psychological status scores were compared and analyzed between the two groups. Results The total effective rate was 90.00%（36/40） in the observation group and 57.50%（23/40） in the control group. The observation group was significantly higher than that in the control group（P<0.05）； the scores of SAS and SDS in the observation group after the nursing and treatment were （38.91±5.26） and （41.14±5.23）， and were （48.75±5.66） and （48.05±5.95） in the control group. The control group was significantly higher than that in the observation group， and the difference was statistically significant（P<0.05）； the length of stay， mechanical ventilation time and the incidence of adverse reactions were significantly better in the observation group than those in the control group， and the differences between the two groups were statistically significant（P<0.05）. Conclusion Objective of nursing management in mechanical ventilation in the patients with severe pneumonia has a favorable effect， which can effectively improve the curative effective rate of patients， reduce the incidence rate of adverse reactions， and effectively improve the patient's psychological and living conditions， which is worthy of application and promotion.endprint

[Key words] Objective of nursing management； Severe pneumonia； Mechanical ventilation； Application effect

重症肺炎属于肺炎发展的较严重阶段，会造成患者呼吸衰竭及多器官功能衰竭，是一种常见的呼吸内科重症疾病。肺炎近年来在我国呈现出逐渐上升趋势，重症肺炎患者常出现较明显焦虑/抑郁不良心理情绪等临床症状，严重影响其生活及生存质量[1]。重症肺炎通常使用无创机械通气方法治疗，该疗法对护理要求较高，护理人员应对患者实施科学护理干预，更好地配合治疗。目标管理制定者是组织管理者及被管理者，指派护理人员护理过程中实施自我控制，从而完成某项工作目标。此次实验研究重点探讨分析了护理目标管理在重症肺炎患者机械通气中的应用效果，取得了较好的临床疗效，现报道如下。

1 资料与方法

1.1 一般资料

选取我院2015年4月～2016年8月收治的80例重症肺炎患者作为实验对象，随机分为观察组与对照组，其中男50例，女30例，年龄38～79岁，病程4～11 d。……