舒适化心理干预对无创呼吸机治疗的呼吸衰竭患者负性情绪及肺功能的影响

Effect of comfortable psychological intervention on negative emotion and pulmonary function of patients with respiratory failure treated with noninvasive ventilator

目的:研究无创呼吸机治疗的呼吸衰竭患者使用舒适化心理干预对负性情绪及肺功能的影响。方法:选择某院2017年2月至2019年2月收治的呼吸衰竭且使用无创呼吸机治疗患者124例,随机分为观察组和对照组各62例,其中对照组患者实施常规无创呼吸机治疗干预措施,观察组在此基础上增加舒适化心理干预。观察干预前后动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)、血氧饱和度(SaO2)、用力肺活量(FVC)、肺总容量(TLC)、肺活量50%时最大呼气流量(PEF50)变化情况,记录焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,统计干预结束后两组干预期间并发症发生率。结果:观察组干预后PaO2、PaCO2、SaO2、FVC、TCL、PEF50水平变化优于对照组(t=6.927,-6.652,7.799,13.077,26.133,10.408;P<0.05);观察组干预后SAS量表、SDS量表评分变化优于对照组(t=-5.350,-3.481;P<0.05);观察组干预结束后并发症发生率9.68%,低于对照组24.19%(χ^2=4.644,P<0.05)。结论:无创呼吸机治疗呼吸衰竭患者使用舒适化心理干预能通过负面情绪调节,有效保持血气指标平稳,同时提高肺功能,且对治疗并发的预防有积极意义。

Objective:To study the effect of comfortable psychological intervention on negative emotion and pulmonary function of patients with respiratory failure treated with noninvasive ventilator.Methods:We selected 124 patients with respiratory failure treated with noninvasive ventilator from February 2017 to February 2019,and divided them into the observation group and the control group randomly,62 patients for each group.The control group was treated with routine noninvasive ventilator,and the observation group was treated with the comfortable psychological intervention besides routine noninvasive ventilator.We observed the changes of PaO2,PaCO2,SaO2,FVC,TLC and PEF50,recorded the scores of SAS and SDS,made a statistics on the incidence of complications during intervention after completed intervention.Results:After intervention,the changes of PaO2,PaCO2,SaO2,FVC,TCL and PEF50 in the observation group were better than those in the control group(t=6.927,-6.652,7.799,13.077,26.133,10.408;P<0.05);The scores of SAS and SDS in the observation group were better than those in the control group(t=-5.350,-3.481;P<0.05);The incidence of complications after completed intervention was 9.68%,which was lower than that in the control group(24.19%)(χ^2=4.644,P<0.05).Conclusion:The use of comfortable psychological intervention on non-invasive ventilator in the treatment of respiratory failure can be adjusted by negative emotion,the blood gas index can be kept stable,and the function of the lung can be improved,and the prevention of concurrent therapy is of positive significance.