慢性呼吸衰竭机械通气患者应用倾向性护理的效果

Effect of Tendentious Nursing in Patients with Chronic Respiratory Failure Undergoing Mechanical Ventilation

目的:探讨倾向性护理在慢性呼吸衰竭机械通气患者中的应用效果。方法:选择2020年1月—2022年4月徐州医科大学附属医院收治的120例慢性呼吸衰竭机械通气患者为研究对象,根据随机数表法将其分为A组和B组,各60例,A组采用常规护理,B组在A组基础上予以倾向性护理。观察两组希望水平、自我护理能力、血气水平及肺功能水平。结果:干预后,两组Herth希望量表(HHI)及自我护理能力量表(ESCA)评分较干预前提高,且B组均高于A组,差异有统计学意义(P<0.05);干预后,两组动脉血氧分压(PaO2)水平较干预前均提高,动脉血二氧化碳分压(PaCO_(2))水平较干预前均下降,且B组PaO2水平高于A组,PaCO_(2)水平低于A组,差异有统计学意义(P<0.05);干预后,两组肺功能水平较干预前均提高,且B组各指标均较A组高,差异有统计学意义(P<0.05)。结论:倾向性护理能提高慢性呼吸衰竭机械通气患者希望水平及自我护理能力,并可改善其血气及肺功能水平。

Objective:To explore the effect of tendentious nursing in patients with chronic respiratory failure undergoing mechanical ventilation.Method:From January 2020 to April 2022,120 patients with chronic respiratory failure undergoing mechanical ventilation who treated in Affiliated Hospital of Xuzhou Medical University were selected and divided into group A and group B according to the method of random number table,60 patients in each group.Group A was given routine care,while group B was given tendentious nursing on the basis of group A.The hope level,self-care ability,blood gas level and pulmonary function level of two groups were observed.Result:After intervention,the scores of Herth hope scale(HHI)and self care ability scale(ESCA)in two groups were higher than those before intervention,and the scores in group B were higher than those in group A,the differences were statistically significant(P<0.05).After intervention,the levels of arterial partial pressure of oxygen(PaO_(2))in two groups were higher than those before intervention,and the levels of arterial partial pressure of carbon dioxide(PaCO_(2))were lower than those before intervention,the level of PaO_(2) in group B was higher than that in group A,and the level of PaCO_(2) was lower than that in group A,the differences were statistically significant(P<0.05).After intervention,the levels of lung function in two groups were improved after intervention compared with before intervention,and the indexes in group B were higher than those in group A,the differences were statistically significant(P<0.05).Conclusion:Tendentious nursing can improve the hope level and self-care ability of patients with chronic respiratory failure undergoing mechanical ventilation,and improve the levels of blood gas and pulmonary function.