高龄社区获得性肺炎患者护理探讨

目的 探讨高龄社区获得性肺炎患者护理要点，以提高高龄老年社区获得性肺炎护理水平。方法 对 35 例≥ 80 岁老 年社区获得性肺炎患者的临床资料及护理进行回顾性分析。结果 本组患者住院时间 6～46 d，其中治愈 32 例，死亡 3 例。 结论 高龄老年社区获得性肺炎患者基础病多，临床症状不典型，病情凶险，护理应侧重环境管理、饮食卧位管理、呼吸 道管理、基础护理、心理护理、预防院内交叉感染，同时重视呼吸频率与血压、意识障碍等风险因素的评估，实施科学 个体化整体护理，促进患者康复。

Discussion on nursing the elderly patients with community acquired pneumonia

Objective To explore the clinical nursing care of elderly community acquired pneumonia in the elderly to improve the nursing level of community acquired pneumonia in the elderly patients. Methods 35 patients aged 80 and over community acquired pneumonia and nursing care of patients with clinical data were retrospectively analyzed. Results 32 cases were cured, 3 cases died, the length of hospital stay was 6 to 46 days. Conclusion Elderly community acquired pneumonia in patients with underlying disease are common, and the clinical symptoms are not typical but with dangerous condition. Care should be focused on management environment and diet managing clinostats. Environmental management, diet and position management, airway management, basic nursing, psychological nursing, prevention of hospital cross infection should be focused on. Besides, we should pay attention to the respiratory rate and blood pressure changes, disturbance of consciousness risk factors assessment, and carry out the implementation of scientific individualized holistic nursing care to promote the rehabilitation of patients.