人性化护理对重症呼吸衰竭患者血气指标及情绪状况的影响

Effect of humanized nursing on the blood gas index and emotional status of patients with severe respiratory failure

目的 探讨人性化护理对重症呼吸衰竭患者血气指标及情绪状况的影响。方法 84例重症呼吸衰竭患者,随机分为对照组与观察组,每组42例。对照组采取常规护理,观察组在对照组基础上加用人性化护理。比较两组患者护理前后的焦虑、抑郁评分及血气分析指标[动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)、血氧饱和度(SpO2)]水平。结果 护理后,两组患者的焦虑、抑郁评分均较本组护理前降低,差异均具有统计学意义(P<0.05);观察组焦虑评分为(41.57±3.49)分、抑郁评分为(39.64±3.72)分,均低于对照组的(48.94±4.21)、(47.37±3.17)分,差异均具有统计学意义(P<0.05)。护理后,两组患者的PaO2、SpO2水平均较本组护理前升高,PaCO2水平均较本组护理前降低,且观察组改善程度优于对照组,差异均具有统计学意义(P<0.05)。结论 对重症呼吸衰竭患者实施人性化护理,可有效缓解患者不良情绪,有效改善其血气分析指标。

Objective To discuss the effect of humanized nursing on the blood gas index and emotional status of patients with severe respiratory failure. Methods A total of 84 patients with severe respiratory failure were randomly divided into control group and observation group, with 42 cases in each group. The control group received conventional nursing, and the observation group received humanized nursing on the basis of the control group. Comparison was made on anxiety and depression score, blood gas indexes[ partial pressure of arterial oxygen (PaO2), partial pressure of arterial carbon dioxide (PaCO2), blood oxygen saturation (SpO2)] levels before and after nursing between the two groups. Results After nursing, both groups had lower anxiety and depression score than those before nursing, and their difference was statistically significant (P<0.05). The observation group had anxiety score as (41.57±3.49) points and depression score as (39.64±3.72) points, which were all lower than (48.94±4.21) and (47.37±3.17) points in the control group. Their difference was statistically significant (P<0.05). After nursing, both groups had higher PaO2 and SpO2 than those before nursing, and lower PaCO2 than those before nursing. The observation group had better improvement degree than that of the control group. Their difference was statistically significant (P<0.05). Conclusion Humanized nursing can effectively alleviate negative emotion of patients with severe respiratory failure and improve their blood gas analysis index.