早期护理干预对呼吸衰竭患者症状改善和预后的影响

Effect of Early Nursing Intervention on Symptom Improvement and Prognosis of Patients with Respiratory Failure

目的观察早期护理干预对呼吸衰竭患者症状改善和预后的影响。方法选取2020年2月-2021年2月在我院诊治的82例呼吸衰竭患者为研究对象,采用随机数字表法分为观察组和对照组,各41例。对照组实施常规护理,观察组在对照组基础上给予早期护理干预,比较两组心率、呼吸频率、动脉血气指标、机械通气和ICU入住时间、并发症发生率以及护理满意度。结果护理后两组心率、呼吸频率均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后两组PaCO_(2)均低于护理前,PaO_(2)均高于护理前,且观察组PaCO_(2)低于对照组,PaO_(2)高于对照组,差异有统计学意义(P<0.05);观察组机械通气、ICU入住时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.87%,低于对照组的17.07%,观察组护理满意度为97.56%,高于对照组的85.36%,差异有统计学意义(P<0.05)。结论早期护理干预可促进呼吸衰竭患者心率和呼吸频率改善,提高缩短治疗时间,降低并发症发生率,提高护理满意度。

Objective To observe the effect of early nursing intervention on symptom improvement and prognosis of patients with respiratory failure.Methods A total of 82 patients with respiratory failure who were diagnosed and treated in our hospital from February 2020 to February 2021 were selected as the research objects.They were divided into observation group and control group by random number table method,with 41 cases in each group.The control group was given routine nursing care,and the observation group was given early nursing intervention on the basis of the control group.The heart rate,respiratory rate,arterial blood gas index,mechanical ventilation and ICU stay time,complication rate and nursing satisfaction were compared between the two groups.Results After nursing,the heart rate and breathing frequency of the two groups were lower than before nursing,and the observation group was lower than the control group,the difference was statistically significant(P<0.05);After nursing,PaCO_(2) of both groups was lower than before nursing,PaO_(2) was higher than before nursing,PaCO_(2) of observation group was lower than control group,PaO_(2) was higher than control group,the difference was statistically significant(P<0.05);The observation group's mechanical ventilation and ICU stay time were shorter than those of the control group,the difference was statistically significant(P<0.05);The incidence of complications in the observation group was 4.87%,which was lower than 17.07%in the control group,and the nursing satisfaction rate of the observation group was 97.56%,which was higher than 85.36%in the control group,the difference was statistically significant(P<0.05).Conclusion Early nursing intervention can improve the heart rate and respiratory rate of patients with respiratory failure,shorten the treatment time,reduce the incidence of complications,and improve nursing satisfaction.