【摘要】 目的：探讨振动排痰仪联合循证护理在重症肺炎伴呼吸衰竭患者中的应用效果。方法：选取2020年4月—2022年7月内蒙古科技大学包头医学院第一附属医院收治的84例重症肺炎伴呼吸衰竭患者作为研究对象，随机分为观察组和对照组，各42例。对照组实施常规护理，观察组实施振动排痰仪联合循证护理。比较两组护理效果。结果：观察组护理总满意度高于对照组，差异有统计学意义(P=0.013)。护理后，两组第1秒用力呼气容积、用力肺活量水平高于护理前，且观察组高于对照组，差异有统计学意义(P<0.05)。护理后，两组动脉血氧分压水平高于护理前，且观察组高于对照组，两组动脉血二氧化碳分压水平低于护理前，且观察组低于对照组，差异有统计学意义(P<0.05)。护理后，两组焦虑评分低于护理前，且观察组低于对照组，两组生活质量评分高于护理前，且观察组高于对照组，差异有统计学意义(P<0.05)。结论：振动排痰仪联合循证护理在重症肺炎伴呼吸衰竭患者中的应用效果显著，可提高其护理满意度，改善肺功能及血气分析指标，缓解焦虑情绪，提高生活质量。更多还原

【Abstract】 Objective: To explore the application of vibration sputum elimination instrument combined with evidence-based care in patients with severe pneumonia with respiratory failure. Methods: A total of 84 patients with severe pneumonia and respiratory failure admitted to the First Affiliated Hospital of Baotou Medical College of Inner Mongolia University of Science and Technology from April 2020 to July 2022 were selected as the study subjects. They were randomly divided into observation group and control group,with 42 cases in each group. The control group implemented routine nursing, and the observation group implemented vibration sputum elimination instrument combined with evidence-based care. The nursing effect was compared between the two groups. Results:The total nursing satisfaction in the observation group was higher than that in the control group, and the difference was statistically significant(P=0.013). After nursing, the levels of forced expiratory volume in 1 second and forced vital capacity in the two groups were higher than those before nursing, and these levels in the observation group were higher than those in the control group, with a statistically significant difference(P<0.05). After nursing, the arterial partial pressure of oxygen in the two groups was higher than that before nursing, and this index in the observation group was higher than that in the control group, while the arterial partial pressure of carbon dioxide in the two groups was lower than that before nursing, and this index in the observation group was lower than that in the control group, with a statistically significant difference(P<0.05). After nursing, the anxiety scores in the two groups were lower than those before nursing, and those scores in the observation group were lower than those in the control group, while the quality of life scores in the two groups were higher than those before nursing, and those scores in the observation group were higher than those in the control group, and the difference was statistically significant(P<0.05). Conclusion: The application of vibration sputum elimination instrument combined with evidence-based care in patients with severe pneumonia and respiratory failure has a significant effect, which can improve the nursing satisfaction, ameliorate lung function and blood gas analysis indicators, alleviate anxiety and improve quality of life.更多还原