连续护理干预对慢性阻塞性肺疾病机械通气后健康状况的影响

Impact of continuous nursing intervention on patients with chronic obstructive pulmonary disease after mechanical ventilation

目的探讨连续护理干预对慢性阻塞性肺疾病机械通气后健康状况的影响。方法慢性阻塞性肺疾病机械通气治疗后出院的患者120例,按照病房单双号随机分为治疗组和对照组各60例。对照组给予常规呼吸科护理,治疗组则给予积极的连续护理干预措施。观察两组护理前后血气指标、肺功能指标与日常生活能力。结果两组患者在干预前后的pH值对比无统计学意义,但PCO2、PO2值在干预后有明显差异(P<0.05)。两组护理干预前后的FEV1、FVC差异均无统计学意义,Barthel指数在护理干预后差异具有统计学意义(P<0.05)。结论对慢性阻塞性肺疾病机械通气治疗后出院的患者进行连续护理干预,能有效改善血气状态,提高其日常生活质量,但不能有效改善其肺功能。

Objective To assess the impact of continuous nursing intervention on patients with chronic obstructive pulmonary disease after mechanical ventilation.Methods 120 patients of chronic obstructive pulmonary disease discharged after mechanical ventilation were randomly divided into treatment group and control group（60 patients each）.The control group received conventional respiratory nursing,whilst the treatment group received continuous nursing interventions.Blood gas,lung function and daily living conditions before and after nursing were compared.Results No significant difference in pH value was found between the two groups before and after intervention,but PCO2 and PO2 values of the two groups were significantly different after the intervention（P〈0.05）.Before and after the nursing intervention,the two groups had no significant difference in FEV1 and FVC.The Barthel index of the two groups showed significant difference after the intervention nursing（P〈0.05）.Conclusion Continuous nursing intervention for patients with chronic obstructive pulmonary disease discharged after mechanical ventilation can improve blood gas status and quality of daily life,but cannot effectively improve lung function.