早期护理干预应用于呼吸衰竭重症监护患者的价值和意义

The Value and Significance of Early Nursing Interventions Applied to Intensive Care Patients with Respiratory Failure

目的:分析早期护理干预应用于呼吸衰竭重症监护患者的价值和意义。方法:选取2019年9月—2020年9月郑州大学第一附属医院收治的110例呼吸衰竭重症监护患者作为研究对象,从此类患者中随机选取病例,按照选取顺序1~110编号,利用抽签法分为对照组和试验组,每组各55例。对照组行常规护理,试验组在对照组基础上行早期护理干预,比较两组患者呼吸功能和肺功能指标,并统计住院期间并发症率。结果:护理前,两组患者平均气道压(Pmean)、气道峰压(Ppeak)、用力肺活量(FVC)、第1秒呼气量(FEV1)比较,差异无统计学意义(t=0.141、0.309,P>0.05);护理后,试验组Pmean、Ppeak低于对照组,FVC、FEV1高于对照组,差异有统计学意义(t=5.633、7.858、13.273、5.030,P<0.05);试验组并发症率为5.46%,低于对照组的18.19%,差异有统计学意义(χ^(2)=4.274,P<0.05)。结论:针对呼吸衰竭重症监护患者,早期护理能够改善患者的呼吸功能和肺功能,可预防多种并发症的发生。

Objective:To analyze the value and significance of early care interventions applied to patients in respiratory failure intensive care.Methods:110 intensive care patients with respiratory failure admitted to the hospital from September 2019 to Sep-tember 2020 were selected as study subjects,and cases were randomly selected from such patients,numbered according to the se-lection order 1 to 110,and divided into control group and experimental group using the lottery method,with 55 cases in each group.The control group was given routine care,and the experimental group was given early care interventions on the basis of the control group.The respiratory and pulmonary function indexes of the two groups were compared,and the complication rate during hospitalization was counted.Results:Before care,the mean airway pressure(Pmean),peak airway pressure(Ppeak),exertional spi-rometry(FVC),and expiratory volume in the first second(FEV1)were not statistically significant when compared between the two groups(t=0.141,0.309,P>0.05).After care,Pmean and Ppeak were lower in the test group than in the control group,and FVC and FEV1 were higher than in the control group,with statistically significant differences(t=5.633,7.858,13.273,5.030,P<0.05).The complication rate in the test group was 5.46%,which was lower than 18.19%in the control group,and the difference was sta-tistically significant(χ^(2)=4.274,P<0.05).Conclusion:For patients in intensive care with respiratory failure,early care can im-prove respiratory and pulmonary function and can prevent a variety of complications.