老年哮喘患者行BiPAP治疗的护理问题与对策

The problems in nursing asthma patients undergoing BiPAP and the countermeasures

观察54例老年哮喘患者行BiPAP治疗,存在护理问题有心理状态异常;腹胀;漏气;自理能力低;沟通障碍致配合不当。护理干预包括:心理护理要耐心、解释到位,反复示范,让患者掌握紧闭双唇腹式呼吸的方法,学会以非语言交流方式进行沟通;注重重症哮喘患者的营养支持和生活护理;强化老年痴呆者家属的健康教育,严密监测SpO2值的变化,改善患者哮喘时胸闷、呼吸困难等不适症状;尊重患者,满足患者的习惯,最终达到顺利完成BiPAP治疗的目的。

The authors observed 54 asthma patients treated with Bi-level positive airway pressure （BiPAP） and found the problems of disorder in mental condition, abdominal distension, air leakage, less ability of self-care, disorder in communication. They carried out care intervention, with the measures including patient mental care, careful explanation, repeated demonstration, instruction of the way of keeping mouth shot to breathe, leaning of non-lingual communicating, stressed on nutrition supporting and life care, enhanced education on the family members of senile dementia patients, close monitoring of SpO2, improvement of such symptoms at asthma as chest distress and dyspnea, respecting patients and meeting their desire in life habit so that they finished their treatment successfully.