Observation on the preventive effect of cluster nursing on aspiration pneumonia in patients with gastroesophageal reflux disease

doi:10.3877/cma.j.issn.2095-8765.2024.04.0010

Abstract

Abstract:

Objective

To explore the preventive effect of cluster nursing on aspiration pneumonia in patients with gastroesophageal reflux disease.

Methods

A total of 90 patients with intensive care unit treated in Xinjiang Uygur Autonomous region people’s Hospital from January 2022 to July 2022 were randomly divided into observation group and control group. The observation group was given cluster nursing and the control group was given routine nursing. The incidence of aspiration pneumonia， anxiety score and clinical symptom score were compared between the two groups.

Results

After the implementation of cluster nursing， the incidence of aspiration pneumonia in the observation group （6.67%） was significantly lower than that in the control group （17.78%）（P＜0.05）. After cluster nursing， the anxiety score in the observation group was significantly lower than that in the control group ［（49.71 ±2.65） points vs （53.47 ±3.24）points，P＜ 0.05］. After cluster nursing， the scores of clinical symptoms in the observation group were lower than those in the control group， and the difference was statistically significant （P＜ 0.05）.

Conclusion

The implementation of cluster nursing measures can effectively reduce the incidence of aspiration pneumonia，relieve negative emotion， improve clinical symptoms and improve the quality of life of patients with gastroesophageal reflux disease.

Key words: Cluster nursing, Gastroesophageal reflux, Aspiration pneumonia

Lijuan Zhang, Yiliang Li, Lin Ma. Observation on the preventive effect of cluster nursing on aspiration pneumonia in patients with gastroesophageal reflux disease[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2024, 11(04): 227-230.

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URL: https://zhwsgflbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-8765.2024.04.0010

https://zhwsgflbdzzz.cma-cmc.com.cn/EN/Y2024/V11/I04/227

Figures/Tables 2

组别	例数	年龄（岁， $\overset{ˉ}{x}$ ±s）	性别［例（%）］		病程（年， $\overset{ˉ}{x}$ ±s）
组别	例数	年龄（岁， $\overset{ˉ}{x}$ ±s）	男性	女性	病程（年， $\overset{ˉ}{x}$ ±s）
对照组	45	47.12±8.38	23（51.1）	22（48.9）	4.31±1.57
观察组	45	46.09±7.95	24（53.3）	21（46.7）	4.58±1.63
t/χ ² 值		0.442	0.535		3.397
P 值		0.824	0.124		1.541

组别	例数	年龄（岁， $\overset{ˉ}{x}$ ±s）	性别［例（%）］		病程（年， $\overset{ˉ}{x}$ ±s）
组别	例数	年龄（岁， $\overset{ˉ}{x}$ ±s）	男性	女性	病程（年， $\overset{ˉ}{x}$ ±s）
对照组	45	47.12±8.38	23（51.1）	22（48.9）	4.31±1.57
观察组	45	46.09±7.95	24（53.3）	21（46.7）	4.58±1.63
t/χ ² 值		0.442	0.535		3.397
P 值		0.824	0.124		1.541

组别	例数	胃灼热		反酸		胸骨后疼痛		腹部不适
组别		护理前	护理后	护理前	护理后	护理前	护理后	护理前	护理后
对照组	45	4.79±1.31	2.43±0.77^a	3.66±1.18	2.64±0.71^a	3.65±1.45	2.72±0.82^a	3.35±1.05	1.98±0.65^a
观察组	45	4.83±1.12	1.27±0.31^a	3.74±1.26	1.81±0.63^a	3.59±1.13	1.78±0.69^a	3.54±1.32	1.03±0.18^a
P 值		＞0.05	＜ 0.05	＞0.05	＜ 0.05	＞0.05	＜ 0.05	＞0.05	＜ 0.05

References 19

1	胡国洋，杜锦辉.中西医结合诊治胃食管反流病的进展［J］.实用中医内科杂志，2022，36（9）：81-83.
2	卢迪，魏雪，郝建宇.胃食管反流病的内镜诊疗进展［J］.临床内科杂志，2021，38（10）：649-651.
3	汪忠镐，吴继敏，胡志伟，等.中国胃食管反流病多学科诊疗共识［J/OL］.中华胃食管反流病电子杂志，2020，7（1）：1-28.
4	Richter JE， Rubenstein JH. Presentation and epidemiology of gastroesophageal reflux disease［J］. Gastroenterology，2018，154（2）：267-276.
5	廖旭.难治性胃食管反流病流行病学调查［J］. 医学临床研究，2018，35（8）：1559-1561.
6	梁笑楠，战蓉蓉，张晓岚.《2020年中国胃食管反流病专家共识》解读［J］.河北医科大学学报，2021，42（8）：869-871， 925.
7	李辉，克里木，王艳，等.MSCT在巨大腹壁切口疝中临床应用［J］.临床放射学杂志，2016，35（1）：151-153.
8	依马木·阿比汗，吴源泉，克里木.治疗先天性肥厚性幽门狭窄30例体会［J］.新疆医学，2015，45（1）：71-72.
9	杨博，李黎明，黄志红，等.预防ICU患者胃潴留集束化护理方案的构建［J］.护理学报，2022，29（12）：1-5.
10	夏欣华，张紫君，王宇霞，等.预防呼吸机相关性肺炎集束化护理方案的构建［J］.中华护理杂志，2021，56（3）：353-359.
11	吴昕，徐文慧，张娟，等.集束化护理对宫颈癌根治术患者围术期指标、膀胱功能及术后尿潴留的影响［J］.中国老年学杂志，2019，39（6）：1323-1326.
12	李紫梦，康艳楠，罗如珍，等.胃食管反流病症状管理指南/共识的质量评价［J］.中国全科医学，2020，23（33）：4151-4159.
13	张怡，朱鹏，王彦琛.老年吸入性肺炎患者病原菌感染特点及相关危险因素分析［J］.中国微生态学杂志，2017，29（9）：1069-1072.
14	韩超，何梦祺，徐哲荣.老年住院患者发生吸入性肺炎的影响因素［J］.中国老年学杂志，2021，41（13）：2734-2737.
15	陈芳.风险识别理念指导下的预见性护理预防胃食管反流病患者发生吸入性肺炎的效果［J］.中国民康医学，2022，34（18）：180-183.
16	郑倩，张昊，谭家腾，等.胃食管反流病与抑郁、焦虑相关性的临床研究［J］.中国实验诊断学，2022，26（1）：41-44.
17	李青芳. 心理弹性在胃食管反流病患者焦虑抑郁水平与症状间的作用分析［D］.乌鲁木齐：新疆医科大学，2022.
18	苏淑芬，肖小玲，谭容容.集束化护理在胃食管反流病患者中的应用价值［J］.广州医药，2021，52（3）：108-111.
19	曾旭婧.肾移植受者心理弹性与自我效能、应对方式、社会支持的相关性［J］.解放军护理杂志，2019，36（5）：25-28.

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[11]	Zhiwei Hu, Dong Chen, Qing Song, Jimin Wu. Anti-reflux mucosal ablation for the treatment of reflux hypersensitivity： a report of 8 cases [J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2024, 11(04): 185-189.
[12]	Tursun Yusup, Maimaiti Ruxiangul, Abula Halifu. Clinical observation of Tioben Jiangyi Decoction for treating gastroesophageal reflux disease with qi stagnation and phlegm obstruction [J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2024, 11(04): 190-195.
[13]	Ying Xing, Wenmao Yan, Rixing Bai. Bariatric surgery in obese patients with esophageal hiatal hernia [J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2024, 11(04): 208-211.
[14]	Chinese Society for Metabolic and Bariatric Surgery (CSMBS), Chinese Society for Gastroesophageal Reflux Disease (CSGERD), Japanese Society for Treatment of Obesity (JSTO), Korean Society for Metabolic and Bariatric Surgery (KSMBS). Experts consensus on the diagnosis and treatment of gastroesophageal reflux disease in patients undergoing sleeve gastrectomy (2024 Edition) [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2024, 10(03): 145-162.
[15]	Mingjie Guo, Chunqi Zhou, Jiahui Yu, Shihong Li, Hongmei Zhu, Yanjun Liu, Huawu Yang. Relationship between obesity and gastroesophageal reflux disease and research progress on reflux treatment after bariatric surgery [J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2024, 10(03): 184-192.

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