集束性护理在Ⅰ型呼吸衰竭患者使用高流量湿化仪应用效果的研究

Study on the application effects of cluster nursing in patients with Type Ⅰ respiratory failure using a high-flow humidifier

目的集束性护理在Ⅰ型呼吸衰竭患者使用高流量湿化仪应用效果的研究。方法选取2018年9月~2019年6月收治的500例Ⅰ型呼吸衰竭患者,采用随机分组法将其分成两组,在使用高流量湿化治疗仪治疗过程中,对照组250例患者行以常规护理,研究组250例患者行以综合护理,对照分析两组治疗及护理效果。结果研究组痰液粘稠度为Ⅰ~Ⅱ°,对照组痰液粘稠度为Ⅱ~Ⅲ°,研究组痰液粘稠度低于对照组,差异有统计学意义(P <0.05)。治疗及护理后两组呼吸频率、心率、外周指脉氧、脉搏频率均得到改善,研究组优于对照组,差异有统计学意义(P <0.05);研究组气道出血、肺部感染发生率均低于对照组,差异有统计学意义(P <0.05)。研究组住院天数、住院总费用少于对照组,差异有统计学意义(P <0.05)。研究组湿化适度患者占比高于对照组,差异有统计学意义(P <0.05)。结论对于Ⅰ型呼吸衰竭患者来说,通过高流量湿化治疗仪治疗并配合使用综合护理,可以改善患者生命体征,保证湿化适度效果,临床价值显著。

Objective Study on the application effects of cluster nursing in patients with Type Ⅰ respiratory failure using a high-flow humidifier. Methods 500 patients with Type Ⅰ respiratory failure admitted and treated in our hospital from September 2018 to June 2019 were selected,and divided into two groups using the random grouping method.During the treatment with a high-flow humidification therapeutic apparatus,250 patients in the control group received routine nursing,while 250 patients in the study group received comprehensive nursing.The therapeutic and nursing effects of the two groups were compared and analyzed. Results The sputum viscosity of the study group was Ⅰ to Ⅱ°,while the sputum viscosity of the control group was Ⅱ to Ⅲ°.The sputum viscosity of the study group was lower than that of the control group,with statistically significant difference(P < 0.05).After treatment and nursing,the respiratory rate,heart rate,peripheral finger pulse oxygen,and pulse frequency of the two groups were improved,and the study group was better than the control group,with statistically significant difference(P < 0.05);The incidence of airway hemorrhage and pulmonary infection in the study group was lower than that in the control group,with statistically significant difference(P < 0.05).The length of stay and total hospitalization expenses in the study group were less than those in the control group,with statistically significant difference(P < 0.05).The proportion of patients with moderate humidification in the study group was higher than that in the control group,with statistically significant difference(P < 0.05). Conclusion For patients with Type Ⅰ respiratory failure,the treatment with a high-flow humidification therapeutic apparatus combined with comprehensive nursing can improve the vital signs of patients,ensure the appropriate effect of humidification,and have significant clinical value.