中华灾害救援医学

目的 分析针对性护理干预急诊抢救急性呼吸困难患者时的价值。方法 选取2023年1月至2023年12月于厦门大学附属第一医院杏林院区就诊的96例急性呼吸困难患者为研究对象，根据护理模式的差异分为试验组（针对性护理干预）和对照组（常规护理干预），每组48例。比较两组研究对象的PaO2和PaCO2水平、不良情绪、临床疗效及满意度。结果 护理干预前，两组研究对象PaO2和PaCO2水平、焦虑和抑郁情绪均无显著差异（P<0.05）。干预后，两组研究对象PaO2和PaCO2水平和不良情绪均改善，试验组PaO2高于对照组（P<0.001）,PaCO2低于对照组（P<0.001），试验组SAS评分和SDS评分均显著低于对照组（P<0.001）。试验组的临床有效率（95.83%）和护理满意度（100.00%）均高于对照组（79.17%,81.25%），差异有统计学意义（P<0.05）。结论 急诊抢救急性呼吸困难患者时，采取针对性护理干预有利改善患者的临床症状，消除患者不良情绪，提高临床疗效和护理的满意度。

Objective To evaluate the value of targeted nursing interventions for patients with acute respiratory distress in emergency situations. Methods A total of 96 patients with acute respiratory distress, treated at Xiamen University First Affiliated Hospital, Xinglin Campus from January 2023 to December 2023, were included in the study. Based on differences in nursing models, patients were divided into a trial group(targeted nursing intervention) and a control group(routine nursing intervention), with 48 patients in each group. Blood gas indices,adverse emotions, clinical efficacy, and satisfaction were compared between the two groups. Results Prior to intervention, there were no significant differences between the two groups in blood gas indices PaO2 and PaCO2, or in adverse emotions such as anxiety and depression(P>0.05). After intervention, improvements were observed in blood gas indices and adverse emotions for both groups. The trial group had significantly higher PaO2(P<0.001)and lower PaCO2(P<0.001) compared to the control group. Additionally, SAS(P<0.001) and SDS(P<0.001) scores were significantly lower in the trial group. The trial group also showed higher clinical efficacy(95.83%) and nursing satisfaction(100.00%) compared to the control group(79.17%, 81.25%), with statistically significant differences(P<0.05). Conclusion Targeted nursing interventions during the emergency management of patients with acute respiratory distress effectively improve clinical symptoms, reduce adverse emotions, and enhance clinical efficacy and nursing satisfaction.