呼吸衰竭患者体外人工膜肺治疗中应用重症监护护理对不良情绪及血气分析指标的影响

Effect of Intensive Care on Bad Emotion and Blood Gas Index in Patients with Respiratory Failure Treated with Ex⁃tracorporeal Membrane Oxygenation

目的:探讨呼吸衰竭患者体外人工膜肺(ECMO)治疗中重症监护护理对不良情绪及血气指标的应用效果。方法:回顾性分析2018年6月—2021年3月开封市人民医院收治的160例呼吸衰竭患者的临床病历资料,根据护理方式不同分为A组和B组,每组各80例。两组患者均接受ECMO治疗,B组给予常规护理干预,A组治疗过程中给予重症监护护理干预。护理2个月后,比较两组患者心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]、血气分析指标、并发症发生情况、呼吸功能[呼吸困难指数量表(mMRC)评分]。结果:A组HAMA、HAMD评分明显低于B组,差异有统计学意义(t=21.120、20.704,P<0.05)。A组呼吸频率,动脉血氧分压、动脉血二氧化碳分压指标高于B组,动脉血氧饱和度指标低于B组,差异有统计学意义(t=4.964、10.936、14.528、8.074,P<0.05)。A组并发症发生率为3.75%,明显低于B组的17.50%,差异有统计学意义(χ^(2)=6.582,P<0.05)。干预后,A组m MRC评分明显低于B组,差异有统计学意义(t=28.664,P<0.05)。结论:呼吸衰竭患者ECMO治疗中应用重症监护护理干预,可对患者不良情绪进行缓解,改善患者血气分析指标,降低并发症发生率,提高预后效果。

Objective:To explore the effect of intensive care on bad emotion and blood gas index in patients with respiratory failure treated with extracorporeal membrane oxygenation(ECMO).Methods:The clinical records of 160 patients with respiratory failure admitted to the hospital from June 2018 to March 2021 were retrospectively analyzed,and they were divided into group A and group B according to the different care modalities,with 80 cases in each group.Patients in both groups were treated with ECMO,with routine nursing interventions in group B and intensive care nursing interventions in group A during treatment.After 2 months of care,the psychological status(Hamilton Anxiety Inventory[HAMA]and Hamilton Depression Inventory[HAMD]scores),blood gas analysis indexes,occurrence of complications,and respiratory function(dyspnea index scale[mMRC]scores)were com⁃pared between the two groups.Results:The HAMA and HAMD scores in group A were lower than those in group B,and the dif⁃ference was statistically significant(t=21.120,20.704,P<0.05).The respiratory rate,arterial partial pressure of oxygen and arterial partial pressure of carbon dioxide in group A were higher than those in group B,and arterial oxygen saturation index was lower than that in group B,the differences were statistically significant(t=4.964,10.936,14.528,8.074,P<0.05).The complication rate in group A was 3.75%,which was lower than 17.50%in group B,the difference was statistically significant(χ^(2)=6.582,P<0.05).After the intervention,the mMRC score in group A was significantly lower than that in group B,the difference was statistically sig⁃nificant(t=28.664,P<0.05).Conclusion:The application of intensive care nursing interventions in ECMO treatment of patients with respiratory failure can relieve patients’adverse emotions,improve their blood gas analysis indexes,reduce the incidence of complications,and improve the prognosis.