倾向性护理对慢性呼吸衰竭患者康复效果的观察

Observation of tendentious nursing on rehabilitation effect of patients with chronic respiratory failure

目的探讨慢性呼吸衰竭患者应用倾向性护理的康复效果。方法选取2019年6月—2021年6月在医院实施治疗的慢性呼吸衰竭患者160例为研究对象,按照组间基本资料均衡匹配的原则分为对照组和观察组,每组80例。对照组实施常规护理,观察组实施倾向性护理。比较两组血气指标水平、肺功能指标水平、并发症发生情况,并采用圣乔治呼吸问卷(SGRQ)评估两组患者的生活质量。结果干预前,两组血气指标水平、肺功能指标水平及各项SGRQ评分比较差异无统计学意义(P>0.05);干预后2周,观察组动脉血氧分压(PaO_(2))、氢离子浓度指数(pH)值高于对照组,差异具有统计学意义(P<0.05);观察组二氧化碳分压(PaCO_(2))水平低于对照组,差异具有统计学意义(P<0.05);观察组第1秒呼气的最大容积(FEV_(1))、呼气峰值流速(PEF)、肺总量(TLC)等肺功能指标高于对照组,差异具有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异具有统计学意义(P<0.05)。观察组呼吸症状、活动能力及生活影响评分低于对照组,差异具有统计学意义(P<0.05)。结论在慢性呼吸衰竭患者康复中应用倾向性护理,可改善其临床症状和体征,减少治疗中并发症的发生,改善血气指标水平,促进肺功能的快速康复,提高生活质量。

Objective To explore the rehabilitation effect of tendentious nursing in patients with chronic respiratory failure was as the study subject.Methods A total of 160 patients with chronic respiratory failure who were treated in the hospital from June 2019 to June 2021 were selected as the research objects,and divided into a control group and an observation group according to the principle of balanced matching of basic data between groups,with 80 cases in each group.The control group received routine nursing,and the observation group received tendentious nursing.The levels of blood gas indexes,pulmonary function indexes,and complications were compared between the two groups,and the living quality of the two groups was evaluated by ST.George’s respiratory questionaire(SGRQ).Results Before intervention,there were no signifi cant diff erences in blood gas index levels,pulmonary function index levels and various SGRQ scores between the two groups(P>0.05).Two weeks after the intervention,the partial pressure of oxygen(PaO_(2)) and hydrogen ion concentration(pH)values of the observation group were higher than those of the control group,and the differences were statistically signifi cant(P<0.05);the partial pressure of carbon dioxide(PCO_(2)) level of the observation group was lower than that of the control group,and the diff erence was statistically signifi cant(P<0.05);the pulmonary function indexes such as forced expiratory volume in one second(FEV_(1)),peak expiratory fl ow(PEF),and total lung capacity(TLC)of the observation group were higher than those of the control group,and the differences were statistically signifi cant(P<0.05).The incidence of complications of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The respiratory symptoms,activity ability and life impact scores of the observation group were lower than those of the control group,and the diff erences were statistically significant(P<0.05).Conclusion The application of tendentious nursing in the rehabilitation of patients with chronic respiratory failure can improve their clinical symptoms and signs,reduce the occurrence of complications during treatment,improve the level of blood gas indicators,promote the rapid recovery of lung function,and improve the quality of life.