强化优质护理在无创正压通气治疗COPD合并呼吸衰竭患者中的应用效果

Application of Intensive High-quality Nursing Care in the Treatment of COPD Patients with Respiratory Failure By Non-invasive Positive Pressure Ventilation

目的探讨强化优质护理在无创正压通气治疗的慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者中所发挥的作用。方法将2020年2月至2021年2月来我院治疗的80例COPD合并呼吸衰竭患者,均采用无创正压通气治疗,随机分为观察组和对照组,各40例。分别采用配合强化优质护理和常规护理,对比两组的护理效果。结果①观察组(38例,占比为95.00%)的治疗有效率相比对照组(29例,占比为72.50%)明显具有更高水平,差异有统计学意义(P<0.05)。②开展护理前两组患者的PEF、FVC、FEV_(1)等肺功能指标差异无统计学意义(P>0.05),护理后,观察组的PEF、FVC、FEV_(1)等肺功能改善比对照组更占优势,差异有统计学意义(P<0.05)。③观察组(3例,占比为7.50%)出现并发症的概率与对照组(12例,占比为30.00%)相比有更低水平,差异有统计学意义(P<0.05)。④护理前,两组患者的负面心理差异无统计学意义(P>0.05),护理后,观察组的负面心理改善效果比对照组优势更大,差异有统计学意义(P<0.05)。⑤两组患者在护理前的生活质量差异无统计学意义(P>0.05),护理之后观察组的生活质量比对照组优势更大,差异有统计学意义(P<0.05)。结论对经过无创正压通气治疗的COPD合并呼吸衰竭患者实施强化优质护理可提升治疗疗效,能够使患者的有关肺功能指标得到转归,还能转变患者的负面情绪,使并发症的概率大大的减少,这是提升患者生活质量的有效方案。

Objective To explore the role of intensive high-quality nursing in patients with chronic obstructive pulmonary disease(COPD complicated with respiratory failure treated with non-invasive positive pressure ventilation.Methods A total of 80 patients with COPD complicated with respiratory failure who came to our hospital for treatment from February 2020 to February 2021 were treated with non-invasive positive pressure ventilation and were randomly divided into an observation group and a control group,40 cases in each group.The nursing effects of the two groups were compared by using the combination of intensive high-quality nursing and routine nursing,respectively.Results(1)The treatment effective rate of the observation group(38 cases,accounting for 95.00%)was significantly higher than that of the control group(29 cases,accounting for 72.50%),with a statistical difference(P<0.05).(2)There was no significant difference in PEF,FVC,FEV_(1) and other pulmonary function indicators between the two groups before nursing(P>0.05);after nursing,the improvement of PEF,FVC,FEV_(1) and other pulmonary functions in the observation group was more dominant than that in the control group,there was a statistical difference(P<0.05).(3)The incidence of complications in the observation group(3 cases,accounting for 7.50%)was lower than that in the control group(12 cases,accounting for 30.00%),there was a statistical difference(P<0.05).(4)Before nursing,there was no significant difference in the negative psychology of the two groups of patients(P>0.05);after nursing,the negative psychological improvement effect of the observation group was greater than that of the control group,there was a statistical difference(P<0.05).(5)There was no significant difference in the quality of life between the two groups before nursing(P>0.05);after nursing,the quality of life of the observation group had a greater advantage than the control group,and there was a statistical difference(P<0.05).Conclusion Intensive and high-quality nursing for COPD patients with respiratory failure who have undergone non-invasive positive pressure ventilation can improve the therapeutic effect,can make the patient’s relevant pulmonary function indicators return,and can also change the patient’s negative emotions,which is a great chance of complications.It is an effective solution to improve the quality of life of patients.