无创呼吸机治疗呼吸衰竭患者应用延续护理的临床效果

Clinical Effect of Continuous Nursing in Patients with Respiratory Failure Treated by Noninvasive Ventilator

目的探讨无创呼吸机治疗呼吸衰竭患者应用延续护理的临床效果。方法选择2018年1月至2019年5月在本科室行无创呼吸机治疗的88例呼吸衰竭患者,根据护理模式分为延续组(48例)和对照组(40例)。住院期间两组均给予常规护理,对照组出院前给予健康指导,延续组增加延续护理干预。对比两组出院时和出院后肺功能及生活质量的改善情况。结果延续组出院后6个月FVC[(2.36±0.46)L]和FEV1[(1.69±0.42)L]指标显著提升,均显著高于对照组[(2.01±0.38)L、(1.13±0.39)L],差异均具有统计学意义(P<0.05);延续组出院后6个月SGRQ评分[(41.02±10.54)分]显著低于对照组[(52.02±11.57)分],差异均具有统计学意义(P<0.05)。结论无创呼吸机治疗呼吸衰竭患者采用延续护理模式可有效改善其肺功能,有助于其生活质量提升,临床应用效果良好。

Objective To explore the clinical effect of continuous nursing in patients with respiratory failure treated by non-invasive ventilator.Methods A total of 88 patients with respiratory failure treated with non-invasive ventilator in our hospital from January 2018 to May 2019 were selected and divided into the continuation group(48 cases)and the control group(40 cases)according to the nursing mode.During hospitalization,both groups received routine nursing care,the control group was given health guidance before discharge,and the continuation group was given continued nursing intervention,and the improvement of lung function and quality of life at discharge and after discharge was compared between the two groups.Results Six months after discharge,FVC[(2.36±0.46)L]and FEV1[(1.69±0.42)L]were significantly improved in the continuation group,both significantly higher than the control group[(2.01±0.38)L,(1.13±0.39)L],the differences were statistically significant(P<0.05).SGRQ score[(41.02±10.54)points]in the continuation group 6 months after discharge was significantly lower than that in the control group[(52.02±11.57)points],with statistically significant differences(P<0.05).Conclusion The continuous nursing model can effectively improve the lung function and improve the quality of life of patients with respiratory failure treated by non-invasive ventilator.