无创呼吸机通气治疗呼吸衰竭患者82例护理体会

Nursing Experience of Noninvasive Ventilator Ventilation for 82 Patients with Respiratory Failure

目的以护理模式为研究视角,探讨系统化护理应用于无创呼吸机通气治疗呼吸衰竭患者的临床疗效及应用价值。方法随机选取接受无创呼吸机通气治疗的82例呼吸衰竭患者,按照随机双盲法分成两组,对照组(n=40)实施常规护理,研究组(n=42)给予系统化护理干预,观察护理前后血气指标(pH、PaO_2、PaCO_2)变化,比较两组机械通气时间、气促缓解时间、住院时间等。结果研究组护理干预后pH、PaO_2上升和PaCO_2下降,变化幅度均显著大于对照组(P<0.05),此外机械通气时间、气促缓解时间、住院时间等均短于对照组(P<0.05)。结论系统化护理致力于实现临床护理与护理管理各环节的整合和系统推进,能显著改善无创呼吸机通气治疗的呼吸衰竭患者血气状况,缩短机械通气时间,促进早日出院,预后好,值得研究推广。

Objective To explore the clinical efficacy and application value of systematic nursing in the treatment of respiratory failure patients with noninvasive ventilator ventilation.Methods Before and after the blood gas index(pH,PaO2,PaCO2)changes,compared two groups of mechanical ventilation time,shortness of breath to alleviate the time,hospital stay.Results After the nursing intervention,the pH,PaO2 and PaCO2 decreased in the study group were significantly higher than those in the control group(P<0.05).In addition,the durations of mechanical ventilation,shortness of breath reduction and hospital stay were shorter than those in the control group(P<0.05).Conclusion Systematic nursing is committed to the integration of clinical care and nursing management and system to promote,can significantly improve the non-invasive ventilator ventilation treatment of respiratory failure in patients with blood gas conditions,shorten the time of mechanical ventilation,to promote early discharge,good prognosis,worthy of research and promotion.