集束化护理对慢性阻塞性肺疾病有创通气患者治疗效果的影响

The effect of cluster nursing in treating COPD patients with invasive ventilation

目的:探讨集束化护理干预在有创通气模式下慢性阻塞性肺疾病(COPD)患者中的应用。方法:选择2011年10月至2013年2月在宁波市医疗中心李惠利医院ICU进行治疗的30例COPD合并呼吸衰竭患者行有创通气的患者为实验组,并进行集束化护理干预,选择2010年6月至2011年9月30例同样疾病行有创通气患者为对照组,采用传统护理措施,观察并对比临床效果。结果:集束化护理干预对COPD患者撤机的效果明显,使用有创呼吸机的时间明显缩短(P<0.05)。结论:对使用有创通气的COPD患者采取集束化护理干预能够提高撤机的成功率,缩短有创呼吸机的使用时间。

[ Objective] To probe into the application of cluster nursing interventions in invasive ventilation of COPD patients. [ Method] 32 cases with mechanical ventilation were selected into an observation group fi＇om January 2012 to February 2013 and another 28 patients were enrolled in control group from June 2010 to December 2011. Cluster nursing intervention was carded out in the observation group, but control group cases received routine care. The effect was evaluated when patients transferred out from ICU. [Result] There was obvious weaning effect in COPD patients with cluster nursing. The time of living in ICU were lass than that of the control group during mechanical ventilation （ P 〈 0.05）. [ Conclusion] Cluster nursing interventions used for sequential mechanical ventilation patients with COPD can improve the success rote of weaning and shorten the time of use of the invasive ventilator.