精细化护理对老年重症呼吸衰竭患者血气分析水平的影响

Effect of Refined Nursing on Arterial Blood Gas Analysis in Patients with Senile Severe Respiratory Failure

目的探讨精细化护理对老年重症呼吸衰竭患者血气分析水平的影响。方法选择2015年1月~2017年4月商丘市第一人民医院呼吸重症医学科呼吸重症监护病房(RICU)收治的老年重症呼吸衰竭患者50例,随机将其分为观察组与对照组,各25例。对照组采用RICU常规护理,观察组采用精细化护理;比较两组患者在护理前、后PH、PaO2、PaCO2水平以及满意度情况。结果护理前,两组PH、PaO2、PaCO2水平相比,差异无统计学意义(P>0.05);护理后,观察组患者血气分析指标PH、PaO2为(7.40±0.01)、(85.64±3.68)mmHg高于对照组(7.23±0.42)、(75.53±4.42)mmHg,PaCO2(40.24±3.64)mmHg低于对照组(58.79±4.67)mmHg,满意度明显优于对照组,差异有统计学意义(P<0.05)。结论在老年重症呼吸衰竭患者中采用精细化护理能改善患者血气分析指标水平,有效提高患者临床治疗效果,进而改善患者生存质量。

Objective To investigate the effect of refined nursing on arterial blood gas（ABG） analysis in patients with senile severe respiratory failure. Methods 50 patients with senile severe respiratory failure in RICU of Shangqiu first people’s hospital from January 2015 to April 2017 were selected, and they were randomly divided into observation group and control group, 25 cases in each group. Control group was given RICU routine nursing, while observation group was given refined nursing. The levels of PH, PaO2, PaCO2 before and after nursing were compared between the two groups.Results Before nursing, there was no statistical difference in the levels of PH, PaO2, PaCO2 between the two groups（P 〉 0.05）;After nursing, the PH and PaO2 in observation group [（7.40±0.01）,（85.64±3.68）mmHg] were higher than control group [（7.23±0.42）,（75.53±4.42）mmHg], while PaCO2 in observation group [（40.24±3.64）mmHg] was lower than control group [（58.79±4.67）mm Hg]（P 〈 0.05）. Conclusion Refined nursing in patients with senile severe respiratory failure can improve levels of ABG analysis, increase curative effects and improve survival quality of patients.