慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者的综合护理干预

Effect of comprehensive nursing intervention for patients with chronic obstructive pulmonary disease complicated with type Ⅱ respiratory failure

目的探讨对慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者实施综合护理干预的临床价值。方法选取确诊合并Ⅱ型呼吸衰竭的慢性阻塞性肺疾病患者114例,按照入院时间分为对照组(2015年4月—2016年7月)和观察组(2016年8月—2018年3月),分别实施呼吸科常规护理和综合护理,对比2组患者临床症状改善情况及护理质量评估结果。结果经护理与治疗后,观察组患者用力肺活量、第1秒用力呼气容积、每分钟最大通气量、动脉血氧分压均显著高于对照组,动脉血二氧化碳分压水平则显著低于对照组(P<0.05);观察组患者喘憋、肺啰音、高温等症状消失时间及住院时间均显著优于对照组(P<0.05);观察组患者的护理满意率显著高于对照组(P<0.05)。结论对慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者实施综合护理干预模式,可有效改善患者呼吸功能,对于缓解临床症状及减轻痛苦具有积极作用,且较常规护理模式更利于提高呼吸内科护理服务质量。

Objective To explore the clinical value of comprehensive nursing intervention for patients with chronic obstructive pulmonary disease and type Ⅱrespiratory failure.Methods A total of 114 patients with chronic obstructive pulmonary disease who diagnosed as type Ⅱrespiratory failure were divided into control group（April 2015 to July 2016） and observation group（August 2016 to March 2018） according to the time of admission,and routine nursing and comprehensive nursing were performed respectively.The clinical symptom improvement and nursing quality assessment results were compared between the two groups.Results After nursing and treatment,the observation group had significantly higher forced vital capacity,forced expiratory volume in one second,maximal voluntary ventilation per minute,and partial arterial oxygen pressure than the control group,and lower arterial partial pressure of carbon dioxide levels than the control group（P〈0.05）.The disappearance time of symptoms such as suffocating and panting,rale in the lungs,and high body temperature and hospitalization time in the observation group were significantly better than that in the control group（P〈0.05）.The nursing satisfaction of the observation group was significantly higher than that of the control group（P〈0.05）.Conclusion Comprehensive nursing intervention for patients with chronic obstructive pulmonary disease and type Ⅱrespiratory failure can effectively improve the patient＇s respiratory function and alleviate clinical symptoms and pain,and it is more conducive to the improvement of nursing quality.