慢阻肺合并呼吸衰竭患者舒适护理的应用分析

Application analysis of comfort nursing in patients with chronic obstructive pulmonary disease and respiratory failure

目的:探究慢阻肺合并呼吸衰竭患者应用舒适护理干预的临床价值。方法:本次选取研究对象为无棣县人民医院呼吸内科收治的70例慢阻肺合并呼吸衰竭患者,研究时间为2016年1月至2018年4月,按照随机数字法分为两组,每组各35例。结果:观察组治疗依从性94.14%高于对照组的71.43%(χ^2=8.74、P=0.01)。观察组舒适度评分(90.36±5.36)分高于对照组的(75.20±3.05)分,而住院时间(12.20±2.25)d短于对照组的(17.56±5.36)d(t=14.54、5.45;P=0.01)。观察组干预后的生存质量评分[日常生活能力(2.12±0.30)分、社会活动能力(2.30±0.41)分、抑郁症状(2.15±0.32)分、焦虑症状(2.10±0.28)分]低于对照组(t=2.24、2.28、4.00、5.27,P<0.05)。结论:舒适护理在慢阻肺合并呼吸衰竭患者中具有较高的临床应用价值。

Objective:To investigate the clinical value of comfortable nursing intervention in patients with chronic obstructive pulmonary disease and respiratory failure. Methods: Seventy patients with chronic obstructive pulmonary disease and respiratory failure were enrolled in the Department of Respiratory Medicine, Wudi County People's Hospital. the study time was from January 2016 to April 2018. They were divided into two groups according to random number method, 35 cases in each group. Results: The treatment compliance of the observation group was 94.14%, higher than that of the control group (71.43%)(χ^2=8.74, P =0.01). The observation group comfort score (90.36±5.36) was higher than that of the control group [(75.20± 3.05)], while the hospitalization time (12.20±2.25)d was shorter than that of the control group [(17.56±5.36)d],( t = 14.54, 5.45;P =0.01). The quality of life scores of the observation group after intervention were (2.12±0.30) for daily living,(2.30±0.41) for social activity,(2.15±0.32) for depression, and (2.10±0.28) for anxiety, which were lower than the control data ( t =2.24, 2.28, 4.00, 5.27, P < 0.05). Conclusion: Comfort nursing is of high clinical value in patients with chronic obstructive pulmonary disease and respiratory failure.