激励护理在BiPAP呼吸机辅助通气治疗中的效果

Effect of encouraging nursing on the treatment of assisted ventilation with BiPAP ventilator

目的探讨激励护理能否有效提高患者治疗的依从性及治疗效果。方法将2008年6月至2011年6月呼吸科收治的慢性阻塞性肺疾病（COPD）合并Ⅱ型呼吸衰竭患者68例，按无创呼吸机治疗时间的顺序随机分为对照组和观察组各34人，对照组按常规给予通气治疗及在治疗前给予健康教育和心理护理，观察组在此基础上，在治疗前、中不断给予激励护理。两组在治疗第3天分别行动脉血气分析检查及依从性比较，比较两组PaO2、PaCO2、pH值及依从性。结果实施激励护理后，观察组的依从率为82．4％，对照组的依从率为41．2％，两组比较差异有统计学意义（x2=4．533，P〈0．01）。实施治疗后，两组在PaO2、PaCO2、pH值都有一定的改善，但观察组改善程度明显，两组比较差异有统计学意义（t分别为2．353，4．261，5．130；P〈0．05）。结论激励护理能大幅度提高患者使用BiPAP呼吸机的依从性及治疗效果。

Objective To explore the effect of encouraging nursing on the compliance and biphasic positive airway pressure （BiPAP） mechanical ventilation therapy of patients. Methods Totals of 68 cases with chronic obstructive pulmonary disease and type II respiratory failure between June 2008 and June 2011, according to ventilator treatment time sequence, were randomly divided into the control group and observation group, each group with 34 cases. The control group received the routine ventilation treatment, health education and psychological nursing before ventilation treatment, while the observation group patients, on the basic of this, before and during treatment, received constant encouraging nursing. And the arterial blood gas analysis of all cases in the third days was conducted, and PaO2, PaCO2, pH value and compliance were observed and compared between two groups. Results After encouraging nursing, the compliance rate was 82.4% in the observation group, and that was 41.2% in control group, and the difference was statistically significant （X2 = 4.533,P 〈 0. O1 ）. After intervention, PaO2, PaCO2, pH value of all patients were improved, especially significantly improved in the observation group, the difference was statistically significant （t = 2. 353,4. 261, 5. 130, respectively ;P 〈 0.05 ）. Conclusions Encouraging nursing can significantly improve patients＇ compliance of using BiPAP ventilator and improve the treatment effect.