重症新冠肺炎患者经鼻高流量氧疗联合呼吸功能锻炼的护理

Nursing of severe COVID-19 patients undergoing nasal high flow oxygen therapy combined with respiratory function exercise

目的:探讨重症新冠肺炎患者经鼻高流量氧疗联合呼吸功能锻炼的护理经验。方法:对6例重症新冠肺炎患者实施经鼻高流量氧疗、加强呼吸功能锻炼、预防并发症、心理护理、三级防护,观察其效果。结果:4例患者在治疗7 d后氧合及呼吸状态明显改善,改为经双鼻塞进行序贯氧疗;1例患者在治疗7 d后氧合指标明显改善,但自觉症状改善不明显,加强心理护理同时改面罩序贯治疗;1例患者治疗中因氧合变差及症状加重,行气管插管及有创呼吸机辅助治疗。结论:经鼻高流量氧疗联合呼吸功能锻炼在新冠肺炎重症患者中值得推广。

Objective:To explore the experience of nursing COVID-19 patients undergoing nasal high flow oxygen therapy combined with respiratory function exercise.Methods:Six COVID-19 patients received nasal high flow oxygen therapy,respiratory function training,prevention of complications,psychological care,and three level protection.The effect was observed finally.Results:After 7 days of treatment,the oxygenation and respiratory status of 4 patients were significantly improved,and they were changed to sequential oxygen therapy through double nasal plugs;oxygenation index of 1 patient was improved significantly after 7 days of treatment,but the conscious symptoms were not significantly improved,so psychological nursing was strengthened and mask sequential treatment was performed;1 patient received endotracheal intubation and invasive ventilator auxiliary treatment due to poor oxygenation and aggravation of symptoms.Conclusion:Nasal high flow oxygen therapy combined with respiratory function is worthy of promotion in severe COVID-19 patients.