延续护理在COPD伴呼吸衰竭患者护理中的应用

Application of Continuing Nursing in the Nursing of Patients with COPD and Respiratory Failure

目的分析慢性阻塞性肺疾病(COPD)伴呼吸衰竭行延续性护理的效果及对其Barthel评分、Braden评分、动脉血氧分压、动脉血二氧化碳分压及营养状况的影响。方法于2018年4月—2019年11月这一期间,选取该院收治的78例COPD伴呼吸衰竭患者,按照数字表法分为两组,对照组予以常规护理,试验组予以延续性护理。对两组干预前后Barthel评分、Braden评分、动脉血氧分压、动脉血二氧化碳分压及营养筛查评分予以比较。结果对照组与试验组干预后Barthel评分分别为(84.06±1.24)分、(89.63±1.15)分,Braden评分分别为(85.63±4.67)分、(89.74±2.23)分,高于干预前的(80.12±4.43)分、(80.42±4.13)分,(81.53±3.26)分、(81.63±3.30)分,且试验组干预后Barthel评分与Braden评分提高幅度大于对照组,差异有统计学意义(t=8.946、4.960,P<0.05);对照组与试验组干预后动脉血氧分压(53.28±7.88)mmHg、(59.61±10.33)mmHg,高于干预前的(51.36±7.76)mmHg、(51.06±7.86)mmHg,动脉血二氧化碳分压(51.28±2.06)mmHg、(47.31±1.86)mmHg,低于干预前的(55.63±2.53)mmHg、(55.86±2.68)mmHg,且试验组干预后动脉血氧分压(59.61±10.33)mmHg高于对照组(53.28±7.88)mmHg,动脉血二氧化碳分压(47.31±1.86)mmHg低于对照组的(51.28±2.06)mmHg,差异有统计学意义(t=3.043、8.933,P<0.05);干预后两组营养筛查评分分别为(3.53±1.47)分、(2.03±1.40)分,均低于干预前的(6.52±0.43)分、(6.65±0.34)分,且试验组干预后营养筛查评分(2.03±1.40)分,低于对照组的(3.53±1.47)分,差异有统计学意义(t=3.738,P<0.05)。结论COPD伴呼吸衰竭行延续性护理的效果显著,可使患者的肺功能与营养状况显著改善,对患者生活自理能力的提高也有积极影响。

Objective To analyze the effect of continuous care for chronic obstructive pulmonary disease(COPD)with respiratory failure and the influence of Barthel score,Braden score,arterial oxygen partial pressure,arterial carbon dioxide partial pressure and nutritional status.Methods During the period from April 2018 to November 2019,78 patients with COPD and respiratory failure admitted to the hospital were selected and divided into two groups according to the number table.The control group received routine care,and the experimental group received continuous care.The Barthel score,Braden score,arterial blood oxygen partial pressure,arterial carbon dioxide partial pressure,and nutritional screening scores before and after intervention were compared between the two groups.Results In the control group and experimental group after intervention,the Barthel score were(84.06±1.24)points,(89.63±1.15)points,the Braden score were(85.63±4.67)points,(89.74±2.23)points,respectively,which were higher than the(80.12±4.43)points,(80.42±4.13)points,(81.53±3.26)points,(81.63±3.30)points before the intervention,and the Barthel score and Braden score of the experimental group after intervention increased more than the control group,the difference was statistically significant(t=8.946,4.960,P<0.05);the arterial blood oxygen partial pressure(53.28±7.88)mmHg and(59.61±10.33)mmHg after the intervention of the control group and the experimental group were higher than the(51.36±7.76)mmHg and(51.06±7.86)mmHg,arterial blood carbon dioxide partial pressure(51.28±2.06)mmHg,(47.31±1.86)mmHg,lower than(55.63±2.53)mmHg,(55.86±2.68)mmHg before intervention,and arterial blood oxygen after intervention in the experimental group of the partial pressure(59.61±10.33)mmHg was higher than the control group(53.28±7.88)mmHg,and the arterial carbon dioxide partial pressure(47.31±1.86)mmHg was lower than the control group(51.28±2.06)mmHg,the difference was statistically significant(t=3.043,8.933,P<0.05);the nutrition screening scores of the two groups after the intervention were(3.53±1.47)points and(2.03±1.40)points,which were lower than(6.52±0.43)points and(6.65±0.34)points before the intervention,and the nutritional screening score(2.03±1.40)points of the experimental group after intervention was lower than that of the control group(3.53±1.47)points,the difference was statistically significant(t=3.738,P<0.05).Conclusion The effect of continuous nursing for COPD with respiratory failure is significant,which can significantly improve the patient's lung function and nutritional status,and has a positive impact on the improvement of the patient's ability to take care of themselves.