【摘要】 目的 探究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。方法 选取2017年1月至2021年1月山东省青岛市市立医院东院收治的167例急性肺血栓栓塞症患者为研究对象，167例患者住院期间均采用常规的抗凝和溶栓治疗，按照随机数字表法将其分为研究组（83例）和对照组（84例）。对照组采用常规护理手段进行日常护理，研究组采用专职化护理小组模式进行护理，两组均干预4周。比较两组干预前后急性肺血栓栓塞症患者动脉氧分压（PaO₂）、动脉二氧化碳分压（PaCO₂）及肺泡气-动脉血氧分压差[P（A-a）O₂]、临床指标（呼吸频率、心率、收缩压、舒张压）和并发症及患者家属对两种不同护理模式满意度。结果 干预前两组PaO₂、PaCO₂、P（A-a）O₂、呼吸频率、心率、收缩压、舒张压比较，差异无统计学意义（P> 0.05）。干预后，两组PaO₂值均高干预前，且研究组高于对照组，PaCO₂、P（A-a）O₂值低于干预前，且研究组低于对照组，差异有统计学意义（P <0.05）。干预后两组呼吸、心率均低于干预前，且研究组低于对照组，差异有统计学意义（P <0.05），收缩压、舒张压较干预前更高，且研究组高于对照组，差异有统计学意义（P <0.05）。干预后研究组不良反应发生率低于对照组（P <0.05）。干预后研究组护理满意度高于对照组，差异有统计学意义（P <0.05）。结论 对急性肺血栓栓塞症患者采用专职化护理小组模式进行护理可以有效改善患者的临床症状，减少并发症的发生率，同时还有助于提高患者家属的护理满意度。更多还原

【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.更多还原