个性化干预模式对COPD合并呼吸衰竭患者呼吸功能、血气指标及并发症的影响

Effects of an individualized intervention mode on respiratory function,blood gas indexes and complications in COPD patients with respiratory failure

目的探究COPD合并呼吸衰竭患者采用个性化干预模式对患者呼吸功能、血气指标及并发症的影响。方法选取南京市中心医院2020年8月至2022年8月收治的COPD合并呼吸衰竭患者60例,依随机数表法均分2组,每组30例。分别对2组进行常规性护理和个性化干预,比较2组患者血气指标、生活质量及心理状况变化。结果观察组患者护理后气促[(0.91±0.24)d]、发绀[(1.20±0.13)d]、肺部啰音[(4.31±1.02)d]等症状消退时间显著短于对照组,X线胸片恢复正常[(5.37±2.44)d]也显著短于对照组(P<0.05),观察组干预后PaO_(2)[(93.56±4.32)mm Hg]、SaO_(2)[(94.12±3.32)mm Hg]水平较对照组高,组间差异有统计学意义(P<0.05),干预后观察组FEV1、FVC显著高于对照组(均P<0.05),2组干预后PEF水平无显著差异(P>0.05),观察组并发症发生率(6.67%)低于对照组(20.00%),组间差异有统计学意义(P<0.05)。结论个性化护理可有效改善COPD并呼吸衰竭患者呼吸功能及血气指标,减少并发症,促进患者康复,值得临床借鉴。

Objective To explore the effects of an individualized intervention mode on respiratory function,blood gas indexes and complications in patients with chronic obstructive pulmonary disease(COPD)combined with respiratory failure.Methods A total of 60 COPD patients combined with respiratory failure admitted to Nanjing Central Hospital from August 2020 to August 2022 were randomly divided into the control group and observation group,with 30 cases per group.Routine nursing and individualized nursing intervention were performed in the control group and observation group,respectively.Blood gas indexes,quality of life and psychological status were compared between groups.Results After nursing,the time of symptom remission in observation group was significantly shorter than that of control group,including the symptoms of shortness of breath(0.91±0.24)d,cyanosis(1.20±0.13)d,and pulmonary rale(4.31±1.02)d,(P<0.05).The time of chest X-ray returning to normal(5.37±2.44)d was also significantly shorter in the observation group than that of control group(P<0.05).After intervention,the partial pressure of oxygen(PaO_(2),[93.56±4.32]mmHg)and oxygen saturation(SaO_(2),[94.12±3.32]mmHg)in the observation group were significantly higher than those of the control group(P<0.05).After intervention,the forced expiratory volume in the first second(FEV1)and forced vital capacity(FVC)in the observation group were significantly higher than those of the control group(P<0.05).There was no significant difference in the peak expiratory flow(PEF)after intervention between the two groups(P>0.05).The incidence of complications in the observation group was significantly lower than that of the control group(6.67%vs 20.00%,P<0.05).Conclusion An individualized nursing can effectively improve the respiratory function and blood gas indexes of COPD patients combined with respiratory failure,reduce complications and promote the rehabilitation,which is worth clinical reference.