慢性阻塞性肺疾病夜间病情特点及护理

Peculiarities of chronic obstructive pulmonary disease and nursing countermeasures in night

目的分析慢性阻塞性肺疾病(COPD)夜间病情特点,以便提出护理对策。方法分析149例慢性阻塞性肺疾病患者夜间病情特点,并采取以下护理措施:认真落实病情交接班制度;持续低流量吸氧;加强病情观察;保持呼吸道通畅;增加夜班护士人力等。结果COPD患者夜间病情特点包括低氧血症、易发生肺性脑病、存在睡眠呼吸障碍、气道阻塞及易发生心力衰竭。145例COPD患者病情好转出院,4例病情加重,经抢救无效死亡。结论做好COPD患者夜间病情观察和护理,可有效预防肺性脑病、右心衰竭等并发症的发生。

Objective To analyze the characteristics of chronic obstructive pulmonary disease, in order to offer nursing countermeasures. Methods The characteristics of chronic obstructive pulmonary disease at night were analyzed, and some nursing measures were adopted such as caring out the shifting of duty earnestly, keeping low rate of flow attracts oxygen, assessing the state of COPD, holding the fluency of breathing way, and adding manpower of nursing at night. Results Among 149 patients, 145 patients left hospital and 4 patients became worse and died. Conclusion Careful nursing and observation of COPD at night will prevent the complications efficiently, such as pulmonary encephalopathy and right heart failure.