优质护理对重症慢性阻塞性肺疾病合并呼吸衰竭患者肺功能的影响评价

Evaluation of the Effect of High-quality Nursing on the Lung Function of Patients with Severe Chronic Obstructive Pulmonary Disease Combined with Respiratory Failure

目的分析优质护理对重症慢性阻塞性肺疾病合并呼吸衰竭患者肺功能的影响。方法在2018年3月—2020年3月期间便利选取82例重症慢性阻塞性肺疾病合并呼吸衰竭患者为观察对象,使用电脑随机对其分组,每组41例。对应实施常规护理、优质护理,分析对肺功能影响。结果干预后,观察组FVC、FEV1/FVC、FEV1水平为(60.98±9.36)%、(73.29±9.73)%、(85.50±9.82)%,优于对照组,差异有统计学意义(t=4.278、5.354、4.141,P<0.05)。观察组IL-1β、TNF-α、IFN-λ水平为(0.23±0.06)pg/mL、(1.10±0.17)pg/mL、(0.56±0.18)pg/mL,低于对照组,差异有统计学意义(t=3.842、4.937、5.192,P<0.05)。观察组PaCO2水平(35.67±5.38)mmHg低于对照组,PaO2水平(92.20±5.37)mmHg高于对照组,差异有统计学意义(t=6.588、4.816,P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论对重症慢性阻塞性肺疾病合并呼吸衰竭患者实施优质护理,可显著改善临床疗效。

Objective To analyze the effect of high-quality nursing care on the lung function of patients with severe chronic obstructive pulmonary disease and respiratory failure.Methods From March 2018 to March 2020,82 patients with severe chronic obstructive pulmonary disease combined with respiratory failure were conveniently selected as observation objects,and they were randomly divided into groups using a computer,with 41 cases in each group.Corresponding to the implementation of routine nursing,high-quality nursing,analysis of the impact on lung function.Results After intervention,the levels of FVC,FEV1/FVC and FEV1 in the observation group were(60.98±9.36)%,(73.29±9.73)%,and(85.50±9.82)%,which were better than those of the control group.The difference were statistically significant(t=4.278,5.354,4.141,P<0.05).The levels of IL-1β,TNF-αand IFN-λin the observation group were(0.23±0.06)pg/mL,(1.10±0.17)pg/mL,(0.56±0.18)pg/mL,which were lower than those of the control group,and the difference was statistically significant(t=3.842,4.937,5.192,P<0.05).The PaCO2 level(35.67±5.38)mmHg of the observation group was lower than that of the control group,and the PaO2 level(92.20±5.37)mmHg was higher than that of the control group,the difference was statistically significant(t=6.588,4.816,P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of high-quality nursing care for patients with severe chronic obstructive pulmonary disease combined with respiratory failure can significantly improve the clinical efficacy.