基于风险预警理念的预见性护理在预防COPD合并呼吸衰竭患者呼吸机依赖发生中的应用

Application of Predictive Nursing Based on the Concept of Risk Early Warning in Preventing Ventilator Dependence in Patients with COPD and Respiratory Failure

目的探讨基于风险预警理念的预见性护理在预防COPD合并呼吸衰竭患者呼吸机依赖发生中的应用效果。方法选取2020年1月至2022年8月期间入住我院呼吸内科的93例COPD合并呼吸衰竭患者,根据护理方式分组,将患者分为预见性护理组(n=46)和常规护理组(n=47),均持续干预8周。观察并比较两组患者的呼吸机依赖发生率、焦虑及抑郁情绪(SAS、SDS评分)及并发症发生情况等。结果预见性护理组和常规护理组呼吸机依赖发生率分别为4.35%和23.40%,差异有统计学意义(P<0.05),干预8周后,预见性护理组SAS及SDS评分均低于常规护理组,差异有统计学意义(P<0.05),2组心力衰竭、睡眠呼吸障碍、慢性肺源性心脏病、呼吸机相关肺炎(VAP)等并发症发生情况比较,差异无统计学意义(P>0.05)。结论基于风险预警理念的预见性护理可以有效减少COPD合并呼吸衰竭患者呼吸机依赖的发生率,且可以缓解患者的焦虑和抑郁。

Objective To explore the application effect of predictive nursing based on the concept of risk early warning in preventing ventilator dependence in patients with chronic obstructive pulmonary disease(COPD)and respiratory failure.Methods A total of 93 patients with COPD and respiratory failure admitted to Respiratory Medicine Department of the hospital were enrolled between January 2020 and August 2022.According to care modality grouping method,they were divided into predictive nursing group(n=46)and routine nursing group(n=47).All were intervened for 8 weeks.The incidence of ventilator dependence,anxiety and depression(SAS,SDS),and the occurrence of complications in the two groups were observed and compared.Results The difference in the incidence of ventilator dependence between predictive nursing group and routine nursing group was statistically significant(4.35%vs 23.40%,P<0.05).After 8 weeks of intervention,SAS and SDS scores in predictive nursing group were lower than those in routine nursing group(P<0.05).There was no significant difference in the incidence of complications[heart failure,sleep disapnea,chronic pulmonary heart disease,ventilator-associated pneumonia(VAP)]between the two groups(P>0.05).Conclusion Predictive nursing based on the concept of risk early warning can effectively reduce the incidence of ventilator dependence,alleviate anxiety and depression in patients with COPD and respiratory failure.