认知-预警护理对呼吸衰竭患者并发症的预防价值

The preventive value of cognitive-early warning nursing on complications in patients with respiratory failure

目的探讨认知-预警护理对呼吸衰竭患者并发症的预防价值。方法选取2019年4月至2020年6月宜春市第二人民医院收治的156例呼吸衰竭患者为研究对象,采用随机数字表法将其分为观察组和对照组,每组各78例。对照组患者予常规护理,观察组患者予认知-预警护理,比较两组患者的血气指标、疾病认知、并发症发生率、生活质量。结果干预后14d,两组患者的血氧分压(partial pressure of oxygen,PaO_(2))、pH较干预前明显提高,且观察组高于对照组,观察组患者的二氧化碳分压(partial pressure of carbon dioxide,PaCO_(2))明显低于干预前及对照组(P<0.05);观察组患者的疾病认知度明显高于对照组(P<0.05),并发症发生率明显低于对照组(P<0.05);干预后14d,观察组患者的精神及总体健康、社会及生理功能、情感及生理职能、躯体疼痛、活力评分明显高于干预前及对照组(P<0.05)。结论认知-预警护理可有效改善呼吸衰竭患者的血气指标,提升患者的疾病认知,预防并发症风险,从而提升生活质量。

Objective To explore the preventive value of cognitive-early warning nursing on complications in patients with respiratory failure.Methods A total of 156 patients with respiratory failure who were admitted to Yichun Second People’s Hospital from April 2019 to June 2020 were selected as the subjects of this study,and were divided into observation group and control group by random number table method,78 cases in each group.Patients in control group were given routine nursing,and patients in observation group were given cognitive-early warning nursing.Blood gas indexes,disease cognition,complication rate,and quality of life were compared.Results After 14 days of intervention,the partial pressure of oxygen(PaO_(2))and pH of patients in the two groups were significantly increased than before intervention,and the PaO_(2)and pH level of patients in observation group were higher than those in control group(P<0.05).The partial pressure of carbon dioxide(PaCO_(2))level of patients in observation group was significantly lower than that before intervention and control group(P<0.05);The disease cognition of patients in observation group was higher than that in control group(P<0.05);The complication rate of patients in observation group was significantly lower than that of control group(P<0.05);After 14 days of intervention,the mental and overall health,social and physiological functions,emotional and physiological functions,physical pain,and vitality scores of patients in observation group were significantly higher than those before intervention and control group(P<0.05).Conclusion Cognitive-early warning nursing can effectively improve the blood gas indexes of patients with respiratory failure,improve the patients’disease cognition,prevent the risk of complications,and thus improve the quality of life.