危重症专职护理团队模式联合呼吸机集束化管理在老年AECOPD伴呼吸衰竭患者中的应用

Application of intensive care team model combined with ventilator cluster manage-ment in elderly patients with AECOPD and respiratory failure

目的 探究危重症专职护理团队模式联合呼吸机集束化管理在老年慢性阻塞性肺疾病急性加重期(AECOPD)伴呼吸衰竭患者的效果。方法 选取2020年1月~2023年3月我院收治120例伴呼吸衰竭老年AECOPD入院患者作为研究对象,随机分组为对照组和观察组,每组60例。对照组给予呼吸机集束化管理,观察组在对照组护理基础上联合危重症专职护理团队模式管理。观察两组干预前后血气指标[氧分压(PaO_(2))、二氧化碳分压(PaCO_(2))、呼吸酸碱值(pH值)];干预期间住院情况[有创通气(IMV)时间、无创通气(NIV)时间、总机械通气时间、住院时间];并发症发生率。结果 干预后,观察组PaO_(2)水平、pH值高于对照组,PaCO_(2)水平、IMV时间、NIV时间、总机械通气时间、住院时间、并发症发生率低于对照组(P<0.05)。结论 危重症专职护理团队模式联合呼吸机集束化管理,可改善老年AECOPD伴呼吸衰竭患者呼吸衰竭症状,缩短治疗周期,降低并发症发生风险。

Objective To explore the effect of intensive care team model combined with ventilator cluster management in elder-ly patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)complicated with respiratory failure.Meth-ods 120 elderly patients with AECOPD and respiratory failure admitted to our hospital from January 2020 to March 2023 were se-lected as research subjects,and they were divided into control group and combined group by the random number table method,with 60 cases in each group.Patients in the control group were given ventilator cluster management,and patients in the combined group were combined with critically ill full-time nursing team model management based on the nursing in the control group.Blood gas in-dicators partial pressure of oxygen(PaO_(2)),partial pressure of carbon dioxide(PaCO_(2)),respiratory pH value before and after interven-tion and hospitalization status[invasive mechanical ventilation(IMV)time,non-invasive ventilation(NIV)time,total mechanical ventilation time,hospital stay]and incidence rates of complications during intervention were observed in both groups of patients.Re-sults After intervention,the PaO_(2) and pH value in combined group were higher than those in control group while the PaCO_(2),IMV time,NIV time,total mechanical ventilation time,hospital stay and incidence rates of complications were lower or shorter than those in control group(P<0.05).Conclusion The combination of critically ill full-time nursing team model and ventilator cluster manage-ment can improve the symptoms of respiratory failure,shorten the treatment cycle,and reduce the risk of complications in elderly pa-tients with AECOPD and respiratory failure.