心理干预对呼吸衰竭患者无创呼吸机通气治疗依从性及血气分析的影响

Effect of psychological intervention on compliance of noninvasive ventilation and results of blood gas in patients with respiratory failure

目的探讨心理干预对呼吸衰竭患者无创呼吸机通气治疗依从性及血气分析的影响。方法选取2016年1月一2017年2月首都医科大学附属北京天坛医院急诊科收治的150例行无创呼吸机通气治疗的呼吸衰竭患者作为研究对象，采取随机数字表将其分成两组，每组75例。两组患者均给予常规护理干预，观察组加强对患者的心理干预，比较两组患者呼吸机通气治疗的依从性以及干预前后患者的血气分析情况等。结果观察组治疗依从率为98．67％，与对照组的85．33％对比有明显上升（P〈0．01）。两组患者治疗后PaO2、SaO2水平均较治疗前明显上升，PaCO2水平明显下降（P〈0．01）；观察组治疗后PaO2、SaO2水平明显高于对照组，PaCO2水平明显低于对照组（P〈0．01）；观察组VAP发生率明显低于对照组，住院时间明显短于对照组（P〈0．05）。结论加强对行无创呼吸机通气治疗的呼吸衰竭患者的心理干预有利于提高呼吸机通气治疗的依从性，改善患者血气分析状况。

Objective To investigate the effect of psychological intervention on the compliance and of noninvasive ventilation and results of blood gas in patients with respiratory failure. Methods 150 cases of patients with respiratory failure treated by noninvasive ventilation in our hospital from January 2016 to -2017 in February were selected as the research objects, and were randomly divided into two groups, each group were 75 cases. Two groups of patients were given routine nursing intervention, the observation group was given psychological intervention of patients. Results The treatment compliance rate of the observation group was 98.67%, which was significantly higher than that of the control group （P〈0.01）. PaO2 and SaO2 levels of the two groups o were significantly increased, the level of PaCO2 was significantly decreased （P〈0.01）; the observation group after treatment PaO2 and Sa02 levels were significantly higher than the control group, the level of PaCO2 was significantly lower than the control group （P〈0.01）; the observation group VAP was significantly lower than the control group, the hospitalization time was significantly shorter than the control group （P〈0.05）. Conclusion Strengthening the psychological intervention on the patients with respiratory failure treated by noninvasive ventilation was beneficial to improve the compliance and improved the results of blood gas.