在重症肺炎致呼吸衰竭抢救中无创呼吸机辅助呼吸的护理应用

Nursing for rescue patients with respiratory failure caused by severe pneumonia by non-invasive ventilator assisted respiration

目的探讨重症肺炎致呼吸衰竭抢救中使用无创呼吸机辅助呼吸患者的临床护理疗效。方法选取本院收治的147例患者,随机分为观察组(n=74)和对照组(n=73)。对照组给予常规护理,观察组在对照组的基础上给予综合性护理干预,观察比较2组护理满意度、HR、RR、p H值、p(O_2)、p(CO_2)、氧合指数,通气时间、住院时间、并发症发生率、拔管成功率及生活质量情况。结果观察组护理满意度为82.43%,明显高于对照组的67.12%(P<0.05)。观察组HR、RR、p(CO_2)均低于对照组(P<0.05),p(O_2)和氧合指数显著高于对照组(P<0.05);通气时间、住院时间及并发症均显著低于对照组(P<0.05),拔管成功率显著高于对照组(P<0.05)。护理干预后,观察组SF-36评分由治疗前的(54.63±16.33)分显著提高至(63.82±13.72)分(P<0.05),明显高于对照组(P<0.05);其中一般健康状况、生理机能、生理职能、躯体疼痛、精力均明显提高(P<0.05),且均高于对照组(P<0.05)。结论综合性护理干预重症肺炎致呼吸衰竭抢救中使用无创呼吸机辅助呼吸患者护理满意度高,可显著提高机体p(O_2)和氧合指数,缩短通气时间与住院时间,改善患者生活质量,值得推广应用。

Objective To investigate the clinical nursing effect of patients with non-invasive ventilator assisted respiration in respiratory failure caused by severe pneumonia. Methods A total of147 patients who admitted to our hospital were randomly divided into observation group（ n = 74） and control group（ n = 73）. The control group received routine nursing,and the observation group received comprehensive nursing intervention based on the control group. Nursing satisfaction,HR,RR,p H,p（ O_2）,p（ CO_2）,oxygenation index,ventilation time,hospital stay time,incidence of complications,success rate of extubation and the quality of life were observed and compared. Results The satisfaction rate of observation group was 82. 43%,which was significantly higher than67. 12% in the control group（ P〈 0. 05）. HR,RR,p（ CO_2） of observation group were lower than that of control group（ P〈 0. 05）. The p（ O_2） and oxygenation index were significantly higher than that of control group（ P〈 0. 05）. Ventilation time,hospital stay and complications were significantly shorter and lower than that of control group（ P〈 0. 05）. The success rate of extubation was significantly higher than that of control group（ P〈 0. 05）. After nursing intervention,the SF-36 score of the observation group was significantly increased from（ 54. 63 ± 16. 33） to（ 63. 82 ± 13. 72）（ P〈 0. 05）,and was also significantly higher than that of control group（ P〈 0. 05）. The general health status,physiological function,physiological function,physical pain,energy were significantly improved（ P〈 0. 05）,and were higher than that of the control group（ P〈 0. 05）. Conclusion Comprehen sive nursing has a higher nursing satisfaction for patients with non-invasive ventilator assisted respiration in the respiratory failure caused by severe pneumonia. It can significantly improve p（ O_2）and oxygenation index,shorten the duration of ventilation and hospitalization time,improve the quality of life,so it is worthy of popularization and application.