护理干预对无创正压通气治疗慢性阻塞性肺疾病合并呼吸衰竭的影响

Effects of nursing intervention on non-invasive positive pressure ventilation in treatment of chronic obstructive pulmonary disease with severe respiratory failure.

目的探讨护理干预对无创正压通气治疗慢性阻塞性肺疾病合并呼吸衰竭的影响。方法将64例患者随机分为干预组和对照组,各32例。两组患者均给予常规药物加无创正压通气治疗,干预组患者施加认知干预、情绪干预和行为干预。观察两组患者对无创正压通气治疗的依从性,接受治疗后达到人机协调的时间和动脉血气分析指标的变化。结果干预组32例患者全部顺利完成无创正压通气治疗。对照组32例中,21例顺利完成治疗,8例勉强完成,3例拒绝通气治疗(P<0.01)。干预组患者接受无创正压通气治疗后达到人机协调的时间明显短于对照组(P<0.01)。治疗后患者的pH值、PaO2、SaO2较对照组明显升高(P<0.01),PaCO2明显下降(P<0.01)。结论护理干预能显著提高患者对无创正压通气治疗的依从性,缩短了达到人机协调的时间,提高了疗效。

Objective To evaluate the effects of nursing intervention on non-invasive positive pressure ventilation in treatment of chronic obstructive pulmonary disease （COPD）with severe respiratory failure. Methods 64 patients were randomly divided into intervention group and control group,each 32. All patients were given routine medication and non-invasive positive pressure ventilation＇s treatment. The patients in the intervention group were given cognitive intervention, emotional intervention and behavioral intervention. We measured the two groups patients＇ degree of compliance with non-invasive positive pressure ventilation＇ s treatment and their time of reaching human-machine corrdination and the chang of the arterial blood gas. Results 32 patients in the intervention group successfully received non-invasive positive pressure ventilation＇s treatment. 21 patients in the control group successfully received this treatment. 8 hard received,3 gave up（ P 〈 0.01 ）.The intervention group patients＇ time of reaching human-machine coordination after non-invasive positive pressure ventilation＇s treatment was significantly shorter than the control group patients＇ than（ P 〈 0.01 ）. The indices of the arterial blood gas in the two group patients after the treatment were significantly different（ P 〈 0.01 ）. Conclusion Nursing intervention can make patients have good compliance with non-invasive positive pressure ventilation＇ s treatment and shorten patients＇ time of reaching human-machine eoordination,and enhance the clinical efficacy.