危重症专职护理应用于慢性阻塞性肺疾病呼吸衰竭患者序贯机械通气治疗中的效果分析

Analysis of the Effect of Specialized Nursing Care for Critically Ill Patients in Sequential Mechanical Ventilation Treatment for Patients with Chronic Obstructive Pulmonary Disease and Respiratory Failure

目的探究慢性阻塞性肺疾病(COPD)呼吸衰竭患者序贯机械通气治疗中应用危重症专职护理的价值。方法简单随机选取2015年2月—2019年4月就诊于该院的慢性阻塞性肺疾病呼吸衰竭患者共100例,根据时间前后顺序分为对照组47例和实验组53例。对照组给予常规护理,实验组在对照组的基础护理上应用危重症专职护理。比较两组患者的患者入住ICU时间、有创通气时间、机械通气总时间;血氧饱和度(SaO_2)、动脉血氧分压(PaO_2)、动脉二氧化碳分压(PaCO_2)及pH值及护理质量评分。结果实验组入住ICU时间(11.43±3.03)d、有创通气时间(5.54±2.01)d、机械通气总时间(14.24±3.37)d均明显短于对照组,两组比较差异有统计学意义(t=5.686、6.544、6.038,P<0.05);实验组SaO_2(95.43±2.01)%、PaO_2(91.11±3.01)mmHg、pH值(7.59±0.62)均明显高于对照组,差异有统计学意义(P<0.05),实验组PaCO_2(36.93±2.41)mmHg明显低于对照组,差异有统计学意义(P<0.05);实验组护理质量评分明显高于对照组,差异有统计学意义(P<0.05)。结论 COPD呼吸衰竭患者序贯机械通气治疗中应用危重症专职护理明显提升护理质量,有利于预后。

Objective To explore the value of applying critically ill full-time nursing care for patients with chronic obstructive pulmonary disease(COPD)respiratory failure during sequential mechanical ventilation.Methods A total of 100 patients with chronic obstructive pulmonary disease and respiratory failure who were admitted to the hospital from February 2015 to April 2019 were conveniently selected and divided into control group 47 cases and experimental group 53 cases according to the chronological order.The control group was given routine nursing care,and the experimental group was treated with critically ill full-time nursing on the basis of the control group.Compare the staying time of patients in ICU,the time of invasive ventilation,the total time of mechanical ventilation;blood oxygen saturation(SaO2),arterial partial pressure of oxygen(PaO2),arterial partial pressure of carbon dioxide(PaCO2),pH value and quality of care score.Results The time of staying in ICU in the experimental group was(11.43±3.03)d,the time of invasive ventilation(5.54±2.01)d,and the total time of mechanical ventilation(14.24±3.37)d were significantly shorter than those of the control group.The difference between the two groups was statistically significant(t=5.686,6.544,6.038,P<0.05);SaO2(95.43±2.01)%,PaO2(91.11±3.01)mmHg,pH value(7.59±0.62)of the experimental group were significantly higher than those of the control group,the difference was statistically significant(P<0.05),the PaCO2(36.93±2.41)mmHg of the experimental group was significantly lower than that of the control group,the difference was statistically significant(P<0.05);the nursing quality score of the experimental group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The application of full-time nursing care for critically ill patients during the sequential mechanical ventilation treatment of patients with COPD respiratory failure can significantly improve the quality of care and benefit the prognosis.