强化心理护理对重症肺炎伴呼吸衰竭患者的影响

Influence of Intensive Psychological Nursing on Patients With Severe Pneumonia With Respiratory Failure

目的探讨对行呼吸道正压通气辅助治疗的重症肺炎伴呼吸衰竭者,护理中强化心理护理对其血气指标及心理状态的影响。方法选取2019年1月—2020年4月收治的62例研究对象按照随机数字表法分成试验组与对照组各31例,两组均给予止咳化痰、抗感染及呼吸道正压通气辅助治疗,对照组在此期间给予常规护理干预,试验组在对照组护理基础上强化心理护理,对比两组护理前后血气指标、心理状态及病情改善情况。结果护理后两组动脉血氧分压(arterial partial pressure of oxygen,PaO_(2))及动脉血氧饱和度(spinal oxygen saturation,SaO_(2))均较护理前提高,试验组显著高于对照组,差异有统计学意义(P<0.05);护理后两组动脉血二氧化碳分压(arterial partial pressure of carbon dioxide,PaCO_(2))均较护理前降低,试验组显著低于对照组,差异有统计学意义(P<0.05)。护理后两组在焦虑自评量表(self-rating anxiety scale,SAS)与抑郁自评量表(self-rating depression scale,SDS)两项评分上均是较护理前降低,且试验组显著低于对照组,差异有统计学意义(P<0.05);试验组在咳嗽缓解时间、气促缓解时间、机械通气时间、住院时间上均显著短于对照组,差异有统计学意义(P<0.05)。结论对重症肺炎伴呼吸衰竭者,予以通气支持的干预期间,辅以心理方面的支持,对于患者的干预价值突出,有助于稳定血气指标,并且也能显著缓解焦虑抑郁等心理不适状态,值得推广。

Objective To explore the effect of intensive psychological nursing on blood gas index and mental state of severe pneumonia with respiratory failure treated with positive respiratory pressure ventilation.Methods A total of 62 research subjects who were admitted from January 2019 to April 2020 were selected and divided into the experimental group and the control group,31 cases in each group,according to the random number table method.Both groups were given cough-relieving and phlegm-relieving,anti-infection and adjuvant therapy of positive airway pressure ventilation.The control group was given routine nursing intervention during this period,and the experimental group was given psychological nursing on the basis of the nursing of the control group,and the blood gas indexes,psychological state and improvement of the condition were compared between the two groups before and after nursing.Results After nursing,the arterial partial pressure of oxygen(PaO_(2))and spinal oxygen saturation(SaO_(2))of the two groups were increased compared with those before nursing,and the experimental group was significantly higher than the control group,and the difference was statistically significant(P<0.05);after nursing,the arterial partial pressure of carbon dioxide(PaCO_(2))in the two groups were lower than those before nursing,and the experimental group was significantly lower than the control group,and the difference was statistically significant(P<0.05).After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups were lower than those before nursing,and the test group was significantly lower than the control group,the difference was statistically significant(P<0.05).The relief time of cough,relief time of shortness of breath,mechanical ventilation time and hospitalization time in experimental group were significantly shorter than those in control group,the difference was statistically significant(P<0.05).Conclusion For patients with severe pneumonia accompanied by respiratory failure,ventilation support during the intervention,supplemented by psychological support,has outstanding intervention value for patients,helps to stabilize blood gas indicators,and can significantly relieve anxiety and depression and other psychological discomfort,which is worth promoting.