预见性护理对无创机械通气治疗Ⅱ型呼吸衰竭疗效的影响

Influence of predictive nursing on type Ⅱ respiratory failure in patients undergoing non-invasive mechanical ventilation therapy

目的探讨预见性护理对无创机械通气治疗Ⅱ型呼吸衰竭疗效的影响。方法选择2013年6月至2014年12月在新乡医学院第三附属医院接受无创机械通气治疗的86例Ⅱ型呼吸衰竭患者为研究对象,将患者分为对照组和观察组,每组43例。患者均根据病情给予对症治疗,在此基础上对照组患者实施常规护理,观察组患者实施预见性护理,比较2组患者的治疗效果和并发症发生情况。结果观察组患者日排痰量为(45. 8±6. 2) m L,机械通气时间和住院时间分别为(8. 5±2. 3)、(13. 2±4. 6) d;对照组患者的日排痰量为(32. 5±5. 6) m L,机械通气时间和住院时间分别为(11. 2±3. 4)、(19. 5±5. 3) d;观察组患者日排痰量明显多于对照组,而机械通气时间和住院时间均明显短于对照组(P <0. 05)。观察组患者面部感染、腹胀、压疮和上消化道出血发生率分别为2. 3%、2. 3%、0. 0%和2. 3%,对照组患者面部感染、腹胀、压疮和上消化道出血发生率分别为18. 6%、16. 3%、9. 3%和11. 6%;观察组患者面部感染、腹胀、压疮和上消化道出血发生率均显著低于对照组(P <0. 05)。结论预见性护理能够明显提高无创机械通气治疗Ⅱ型呼吸衰竭患者的临床效果,减少呼吸系统并发症。

Objective To explore the effect of predictive nursing on type Ⅱ respiratory failure in patients undergoing non-invasive mechanical ventilation therapy.Methods A total of 86 cases with typeⅡrespiratory failure who received non-invasive mechanical ventilation in the Third Affiliated Hospital of Xinxiang Medical University from June 2013 to December 2014 were selected and divided into the control group(n=34) and observation group(n=34).All patients were given symptomatic treatment.Based on this,the patients in control group were given conventional nursing;the patients in observation group were given predictive nursing.To compare The clinical effect and incidence of complication were compared between the two groups.Results The daily amount of expectoration drainage of patients in observation group and control group was (45.8±6.2)mL and(32.5±5.6)mL,the mechanical ventilation time of patients in observation group and control group was (8.5±2.3)d and (11.2±3.4)d,the hospitalization time of patients in observation group and control group was (13.2±4.6)d and (19.5±5.3)d,respectively;the daily amount of expectoration drainage of patients in observation group was significantly higher than that in the control group(P<0.05);the mechanical ventilation time and hospitalization time of patients in observation group were significantly shorter than those in the control group(P<0.05).The incidence of facial infection,abdominal distention,pressure ulcers and upper gastrointestinal hemorrhage of patients in observation was 2.3%,2.3%,0.0% and 2.3% respectively;the incidence of facial infection,abdominal distention,pressure ulcers and upper gastrointestinal hemorrhage of patients in control group was 18.6%,16.3%,9.3% and 11.6% respectively;the incidence of facial infection,abdominal distention,pressure ulcers and upper gastrointestinal hemorrhage of patients in observation group was significantly lower than that in the control group(P<0.05).Conclusion The predictive nursing can obviously improve the clinical effect and reduce the incidence of respiratory system complication of type Ⅱ respiratory failure patients undergoing non-invasive mechanical ventilation.