临床护理路径在无创呼吸机治疗呼吸衰竭患者中的应用效果

Application of clinical nursing pathway in the treatment of respiratory failure patients with non-invasive ventilation

目的探讨临床护理路径干预在无创呼吸机治疗呼吸衰竭患者中的应用。方法选取2020年5月—2021年12月医院收治的80例呼吸衰竭患者作为研究对象,按照组间资料均衡可比的原则分为对照组和观察组,各40例。所有患者均接受无创呼吸机治疗,对照组接受常规护理,观察组接受临床护理路径干预。比较两组患者住院指标、肺功能指标、血气指标、生活质量、并发症发生率。结果观察组住院费用、住院时间、呼吸机通气时间、人机协调时间短于对照组(P<0.05)。两组患者干预前6MWT、肺功能指标比较差异无统计学意义(P>0.05);干预后,观察组6MWT长于对照组,FEV_(1)/FVC、FVC、FEV_(1)高于对照组(P<0.05)。两组患者干预前血气指标比较差异无统计学意义(P>0.05);干预后,观察组SaO_(2)、PaO_(2)高于对照组,PaCO_(2)低于对照组(P<0.05)。两组患者干预前生活质量评分比较差异无统计学意义(P>0.05);干预后,观察组生活质量评分高于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论呼吸衰竭患者接受无创呼吸机治疗的同时给予临床护理路径干预,能更好地控制机体血气指标,改善其肺功能、生活质量等,促进病情恢复。

Objective To investigate the application of clinical nursing pathway intervention in the treatment of respiratory failure patients with non-invasive ventilation.Methods To select 80 patients with respiratory failure admitted to the hospital from May 2020 to December 2021 as the study subjects.They were divided into a control group and an observation group based on the principle of balanced and comparable data between the groups,with 40 patients in each group.All patients received non-invasive ventilation treatment,the control group received routine nursing,and the observation group received clinical nursing pathway intervention.Compare the hospitalization indicators,pulmonary function indicators,blood gas indicators,quality of life,and complication rate between the two groups.Results The hospitalization expenses,hospitalization time,ventilator ventilation time,and man-machine coordination time in the observation group were shorter than those in the control group(P<0.05).Before intervention,there was no significant difference in 6 MWT and pulmonary function indicators between the two groups(P>0.05).After intervention,the 6MWT in the observation group was longer than that in the control group,FEV_(1)/FVC,FVC and FEV_(1)in the observation group were higher than those in the control group(P<0.05).Before intervention,there was no significant difference in blood gas indicators between the two groups(P>0.05).After intervention,the SaO_(2)and PaO_(2)in the observation group were higher than those in the control group,the PaCO_(2)was lower than that in the control group(P<0.05).Before intervention,there was no significant difference in quality of life score between the two groups(P>0.05).After intervention,the quality of life score in the observation was higher than that in the control group(P<0.05).The incidence of complication in the observation was lower than that in the control group(P<0.05).Conclusion Patients with respiratory failure who receive non-invasive ventilation treatment and receive clinical nursing pathway intervention can better control their blood gas indicators,improve their lung function,quality of life,and promote the recovery of their condition.