无创呼吸机救治肺结核合并Ⅱ型呼吸衰竭患者的护理体会

Nursing Experience of Non-invasive Ventilator in Treating TypeⅡRespiratory Failure of Pulmonary Tuberculosis

目的分析无创呼吸机救治肺结核合并Ⅱ型呼吸衰竭患者的护理效果。方法观察90例我院收治的肺结核合并Ⅱ型呼吸衰竭患者,患者入组时间为2017年10月至2019年3月,采用数字随机法将患者进行分组,一组给予常规治疗和护理,为普通组,另一组给予无创呼吸机救治及对应护理措施,为研究组,对比两组患者的临床指标、生活质量及护理满意度。结果研究组患者救治24 h后HR为(96.50±2.90)次/min,呼吸频率为(19.40±1.30)次/min,pH为(7.04±0.50),PaO_(2)为(53.20±1.30)mm Hg,PaCO_(2)为(57.50±1.60)mm Hg,各项数据与普通组比较无统计学差异(P>0.05,t=1.2474、0.3792、0.0000、1.6270、1.1142);研究组患者护理后躯体质量评分为(58.60±2.60)分,心理健康评分为(57.30±4.20)分,情感功能评分为(46.90±4.30)分,社会功能评分为(54.90±3.60)分,各项数据比普通组更高(P<0.05,t=25.1032、20.1305、13.1186、11.2913);研究组患者护理满意度达到了95.56%(43例),高于普通组的71.11%(32例),数据差异有统计学意义(P<0.05,χ^(2)=9.6800)。结论无创呼吸机救治肺结核合并Ⅱ型呼吸衰竭患者与常规综合治疗均能达到理想的治疗效果,促进患者临床指标的归转,但前者通过给予对应的护理措施,可显著提高患者生活质量,患者护理满意度也更高,值得使用。

Objective Effect of noninvasive ventilator in treating patients with tuberculosis respiratory failure.Methods We observed 90 patients with tuberculosis respiratory failure in our hospital enrolled from October 2017 to March 2019 by digital randomized method,one group giving routine treatment and care,non-invasive ventilator treatment and corresponding nursing measures,comparing the clinical indicators,quality of life and nursing satisfaction of the two groups.Results HR after 24 h(96.50±2.90)in the study group respiratory frequency(19.40±1.30)times/min,pH is(7.04±0.50),PaO_(2) is(53.20±1.30)mm Hg,PaCO_(2) is(57.50±1.60)mm Hg,data compare no statistical differences from common groups(P>0.05,t=1.2474,0.3792,0.0000,1.6270,1.1142);postnursing body mass score was(58.60±2.60),mental health score of(57.30±4.20),emotional function score is(46.90±4.30),social function score is(54.90±3.60),data is higher than normal groups(P<0.05,t=25.1032,20.1305,13.1186,11.2913);patient care satisfaction in the study group reached 95.56%(43 cases),above 71.11%of the general group(32 cases),data differences are statistically significant(P<0.05,χ^(2)=9.6800).Conclusion Non-invasive ventilator patients and conventional respiratory failure can achieve ideal treatment effect and promote the conversion of clinical indicators,but the former can significantly improve the quality of life and improve the patient care satisfaction.