摘要
目的探讨对无创呼吸机治疗慢性阻塞性肺疾病伴呼吸衰竭患者的临床护理效果。方法选取2018年9月至2019年9月在我院进行治疗的80例慢性阻塞性肺疾病伴呼吸衰竭患者,随机分为对照组(n=40,给予常规护理干预)和研究组(n=40,在常规护理基础上实施针对性的综合护理干预)。对两组护理前后肺功能指标、睡眠质量、预后效果以及护理满意度进行比较。结果护理前,两组患者R、HR、pH、SPO2、PaCO2、PaCO2、MMRC评分比较无差异(P>0.05);护理后,研究组R、HR、pH、PaCO2、MMRC评分情况均低于对照组,SPO2、PaCO2均高于对照组(P<0.05)。研究组匹兹堡睡眠质量指数量表(PSQI)各指标评分均低于对照组(P<0.05)。研究组气管插管率、不良反应发生率以及病死率均低于对照组,两组气管插管率与不良反应发生率比较差异有统计学意义(P<0.05),而两组病死率比较差异无统计学意义(P>0.05)。研究组护理满意度明显高于对照组(P<0.05)。结论对无创呼吸机治疗慢性阻塞性肺疾病伴呼吸衰竭患者采取综合护理干预的效果更佳,有助于改善患者的肺功能指标和睡眠质量,促进患者预后恢复。
Objective To explore the clinical nursing effect of non-invasive ventilator in the treatment of chronic obstructive pulmonary disease with respiratory failure.Methods A total of 80 patients with chronic obstructive pulmonary disease and respiratory failure who were treated in our hospital from September 2018 to September 2019 were selected and randomly divided into a control group and a study group,with 40 cases in each group.The control group was given routine nursing intervention,and the research group implemented targeted comprehensive nursing intervention on the basis of routine nursing.The lung function indicators,sleep quality,prognostic effect and nursing satisfaction were compared between the two groups before and after nursing.Results Before nursing,there was no significant difference in R,HR,pH,SPO2,PaCO2,PaCO2,and MMRC scores between the two groups of patients(P>0.05);after nursing,the R,HR,pH,PaCO2,MMRC scores of the study group were all lower than the control group,SPO2 and PaCO2 were higher than the control group(P<0.05).The Pittsburgh sleep quality index(PSQI)scores of the study group were lower than those of the control group(P<0.05).The tracheal intubation rate,adverse reaction rate and mortality rate of the study group were lower than those of the control group.There was a statistically significant difference in the tracheal intubation rate and the adverse reaction rate between the two groups(P<0.05),while the mortality rate of the two groups was no significantly difference(P>0.05).The nursing satisfaction of the study group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Comprehensive nursing intervention for patients with chronic obstructive pulmonary disease with respiratory failure by non-invasive ventilator is more effective,which helps to improve the patient's lung function indicators and sleep quality,and promote the patient's prognosis recovery.
作者
乔辉
QIAO Hui(The First Hospital of Dandong,Dandong 118000,China)
出处
《中国医药指南》
2021年第8期7-9,共3页
Guide of China Medicine
关键词
慢性阻塞性肺疾病
呼吸衰竭
无创呼吸机
综合护理
睡眠质量
Chronic obstructive pulmonary disease
Respiratory failure
Non-invasive ventilator
Comprehensive nursing
Sleep quality