舒适护理对AECOPD患者撤机拔管后行HFNC治疗的应用效果

Application effect of comfort nursing on patients undergoing HFNC treatment after weaning and extubation of AECOPD

目的探讨舒适护理干预对慢性阻塞性肺疾病急性加重(acute exacerbation of chronic obstructive pulmonary disease,AECOPD)患者拔管后行经鼻高流量湿化氧疗(high-flow nasal cannula oxygen therapy,HFNC)的应用效果。方法选择2019年11月至2022年1月入住我院行HFNC治疗的AECOPD患者120例,随机分为观察组60例和对照组60例,观察组接受常规护理干预基础上引入舒适护理,对照组接受常规护理干预。分别于实施HFNC护理干预前及护理干预后72h,采用舒适状况量表(GCQ)、医院焦虑抑郁量表(HADS)及COPD评估测试(CAT)问卷进行调查,比较两组患者干预前后舒适程度,焦虑、抑郁程度以及CAT得分情况。结果干预后两组患者GCQ、HADS、CAT及各维度得分差异均有统计学意义(P<0.05),且观察组GCQ得分高于对照组,HADS、CAT得分低于对照组。结论舒适护理干预可有效缓解行HFNC治疗的AECOPD患者的焦虑、抑郁等负性情绪,增进患者的舒适度,提高患者的生活质量,其效果优于单纯常规护理。

Objective To investigate the effect of comfort nursing intervention on patients with AECOPD who underwent HFNC after extubation.Methods A total of 120 AECOPD patients treated with HFNC were randomly divided into an experimental group of 60 cases and a control group of 60 cases.The experimental group received routine nursing intervention based on comfortable nursing,and the control group received routine nursing intervention.Before the implementation of HFNC nursing intervention and 72 hours after the nursing intervention,the General Comfort Questionnaire Scale(GCQ),Hospital Anxiety and Depression Scale(HADS)and COPD Assessment Test(CAT)were used to investigate the comfort level,anxiety and depression of the two groups before and after the intervention.Results After the intervention,there were significant differences in GCQ,HADS,CAT and the scores of each dimension between the two groups(P<0.05).The GCQ of the experimental group was higher than that of the control group,and the HADS and CAT of the experimental group were lower than those of the control group.Conclusion Comfort nursing intervention can effectively relieve anxiety,depression and other negative emotions in AECOPD patients treated with HFNC,improve the comfort of patients,promote the quality of life of patients,and its effect is better than conventional nursing.