Min Zhang1, Xin Li1, Yu Bai1. 1. 2A ICU, Shanghai General Hospital Shanghai 201620, China.
Abstract
OBJECTIVE: To study the application value of prone nursing combined with extracorporeal membrane oxygenation (ECMO) in patients with severe pneumonia. METHODS: Altogether 96 patients with severe pneumonia from December 2016 to June 2018 were selected as the research participants, and 48 patients were included in the observation group (OG) to receive prone nursing with ECMO, while the other 48 patients were included in the control group (CG) to receive routine nursing with ECMO. Complications, cardiopulmonary function, VAS, SAS, SDS, MMAS-8 scores and nursing satisfaction were compared. RESULTS: After nursing, the incidence of complications in the OG was lower than that in the CG, LVEDD and LVESD in OG were lower than those in CG, while LVEF, FEV1 and FVC were higher than those in CG. The scores of VAS, SAS and SDS in OG were lower than those in CG. The MMAS-8 score in the OG was higher than that in the CG. The total nursing satisfaction of the OG was higher than that of the CG (All P<0.05). CONCLUSION: Prone nursing combined with ECMO can reduce the incidence of complications of severe pneumonia and improve the cardiopulmonary function of patients, which is worthy of clinical promotion. AJTR
OBJECTIVE: To study the application value of prone nursing combined with extracorporeal membrane oxygenation (ECMO) in patients with severe pneumonia. METHODS: Altogether 96 patients with severe pneumonia from December 2016 to June 2018 were selected as the research participants, and 48 patients were included in the observation group (OG) to receive prone nursing with ECMO, while the other 48 patients were included in the control group (CG) to receive routine nursing with ECMO. Complications, cardiopulmonary function, VAS, SAS, SDS, MMAS-8 scores and nursing satisfaction were compared. RESULTS: After nursing, the incidence of complications in the OG was lower than that in the CG, LVEDD and LVESD in OG were lower than those in CG, while LVEF, FEV1 and FVC were higher than those in CG. The scores of VAS, SAS and SDS in OG were lower than those in CG. The MMAS-8 score in the OG was higher than that in the CG. The total nursing satisfaction of the OG was higher than that of the CG (All P<0.05). CONCLUSION: Prone nursing combined with ECMO can reduce the incidence of complications of severe pneumonia and improve the cardiopulmonary function of patients, which is worthy of clinical promotion. AJTR
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