综合护理干预对急性呼吸衰竭实施无创通气患者血气分析及睡眠质量的影响

Effect of Integrated Nursing Intervention on Blood Gas Analysis and Sleep Quality in Patients Undergoing Non-invasive Ventilation for Acute Respiratory Failure

目的:观察综合护理干预对急性呼吸衰竭实施无创通气患者血气分析及睡眠质量的影响,从而为急性呼吸衰竭患者提供有效的临床护理措施。方法:选取2021年6月至2022年6月山东大学齐鲁医院呼吸科收治的急性呼吸衰竭行无创通气治疗的患者80例作为研究对象,按照随机数字表法随机分为观察组和对照组,每组40例。对照组患者采取常规的呼吸机护理干预,观察组在常规治疗与护理的基础上实施综合护理干预措施,对2组患者治疗与护理后的血气分析指标、睡眠质量情况及并发症发生情况、住院天数进行比较分析。结果:通过实施不同的护理干预措施,2组患者的血气分析水平均优化,睡眠质量也有所好转。观察组患者与对照组患者比较,血气各项指标均优化,差异均有统计学意义(均P<0.05);护理后,观察组患者匹兹堡睡眠质量指数评分低于对照组,差异有统计学意义(P<0.05);护理后,观察组患者并发症发生率为10.0%,低于对照组的37.5%,差异有统计学意义(P<0.05)。结论:对急性呼吸衰竭行无创通气的患者实施综合护理干预措施,可以显著改善其无创通气的效果,优化血气各项指标,改善睡眠质量,降低并发症发生风险,减少住院天数,值得临床推广应用。

Objective:To observe the impact of comprehensive nursing intervention on blood gas analysis and sleep quality in patients with noninvasive ventilation for acute respiratory failure,thus providing effective clinical nursing measures for patients with acute respiratory failure.Methods:A total of 80 patients with acute respiratory failure treated in the Respiratory Department Qilu Hospital of Shandong University from June 2021 to June 2022 were selected as the study subjects,and were divided into observation group and control group according to the random number table method,with 40 patients in each group.The patients in the control group adopted routine ventilator nursing intervention,and the observation group implemented comprehensive nursing intervention measures on the basis of routine treatment and nursing.The blood gas analysis indicators,sleep quality,complications occurrence and hospitalization days of the patients in the two groups were compared and analyzed.Results:By implementing different nursing interventions,the level of blood gas analysis in both groups was optimized and the sleep quality was also improved.Compared with the control group,the observation group showed that all blood gas indicators were optimized,and the difference was statistically significant(P s<0.05).After nursing,the Pittsburgh Sleep Quality Index score of patients in the observation group was lower than that of the control group,with a statistically significant difference(P<0.05).The chance of complications in the observation group was 10.0%,the chance of complications in the patients in the control group was 37.5%,and the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The comprehensive nursing intervention for patients undergoing non-invasive ventilation in acute respiratory failure can significantly improve the effect of non-invasive ventilation,optimize the indicators of blood gas,improve sleep quality,reduce the risk of complications and reduce the number of hospital days,which is worthy of clinical application.