模块化护理干预策略在年龄>60岁慢性阻塞性肺疾病急性加重期合并呼吸衰竭患者中的应用效果

Effect of Modular Nursing Intervention Strategy on Mechanical Ventilation Time and Nursing Satisfaction of Family Members of Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients with Respiratory Failure >60 Years Old

目的:探究模块化护理干预策略对年龄>60岁慢性阻塞性肺疾病急性加重期(AECOPD)合并呼吸衰竭患者机械通气时长及家属护理工作满意度的影响。方法:选取2017年1月—2020年10月南阳市第一人民医院收治的86例AECOPD合并呼吸衰竭患者作为研究对象,按随机数表法分为A组和B组,每组各43例。B组接受常规护理干预,A组在常规护理干预基础上接受模块化护理干预策略干预。比较两组患者住ICU时长、机械通气时长,入院时、通气第7 d急性生理与慢性健康评分(APACHEⅡ)系统表评分,患者家属护理工作满意度。结果:A组患者机械通气时长、住ICU时长较B组短,差异有统计学意义(t=7.589、9.014,P<0.05)。两组患者入院时APACHEⅡ评分比较,差异无统计学意义(t=0.724,P>0.05);通气第7 d,A组APACHEⅡ评分低于B组,差异有统计学意义(t=4.164,P<0.05)。A组家属护理工作满意度为97.67%,高于B组的76.74%,差异有统计学意义(χ^(2)=8.444,P<0.05)。结论:年龄>60岁AECOPD合并呼吸衰竭患者应用模块化护理干预策略,可以缩短机械通气时长及住ICU时长,促进病情转归,同时能进一步提升患者家属护理工作满意度。

Objective: To explore the effect of modular nursing intervention strategy on mechanical ventilation time and nursing satisfaction of family members of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD) complicated with respiratory failure aged over 60 years. Methods: A total of 86 patients with AECOPD combined with respiratory failure who were admitted to the hospital from January 2017 to October 2020 were selected as the research objects and randomly divided into group A and group B, with 43 cases in each group. Group B received routine nursing intervention, and group A received modular nursing intervention strategy based on routine nursing intervention. The length of stay in the ICU, the length of mechanical ventilation, the acute physiology and chronic health score(APACHE II) on admission, the 7th day of ventilation, and the nursing work satisfaction of the patients’ family were compared between the two groups. Results: The duration of mechanical ventilation and ICU stay in group A were shorter than those in group B, and the differences were statistically significant(t=7.589, 9.014, P<0.05). On the 7th d of ventilation, the APACHE II score of group A was lower than that of group B, and the difference was statistically significant(t=4.164, P<0.05). The nursing satisfaction of family members in group A was 97.67%, which was higher than 76.74% in group B, and the difference was statistically significant(χ^(2)=8.444, P<0.05). Conclusion: The application of modular nursing intervention strategy in AECOPD patients aged over 60 years with respiratory failure can shorten the duration of ICU stay and mechanical ventilation, promote the prognosis of the disease, and further improve the nursing satisfaction of family members.