循证理念下健康教育结合无创正压通气围绝经期COPD合并呼吸衰竭患者临床疗效的影响

Impact of evidence-based health education combined with non-invasive positive pressure ventilation on the clinical efficacy of menopausal women with chronic obstructive pulmonary disease and respiratory failure

目的探讨循证理念下健康教育结合无创正压通气对围绝经期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)合并呼吸衰竭患者临床疗效的影响。方法选取2021年2月至2024年2月浙江中医药大学附属温州市中医院收治的围绝经期COPD合并呼吸衰竭患者100例进行观察。按照干预方式的不同将100例患者分为常规组和研究组,每组50例。常规组患者进行常规干预结合无创正压通气,研究组患者在常规组基础上实施循证理念下健康教育。比较两组患者的血气指标、心理状态、舒适状况量表(general comfort question naire,GCQ)评分与匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分、治疗效果、并发症。结果干预前,两组患者的二氧化碳分压(arterial partial pressure of carbon dioxide,PaCO_(2))、血氧分压(arterial oxygen partial pressure,PaO_(2))、血氧饱和度(oxygen saturation of blood,SaO_(2))水平比较,差异无统计学意义(P>0.05)。干预后,研究组患者PaCO_(2)水平低于常规组患者,PaO_(2)水平、SaO_(2)水平高于常规组患者,差异有统计学意义(P<0.05)。干预前,两组患者抑郁自我检测量表(self-rating depression scale,SDS)评分、焦虑自我检测量表(self-rating anxiety scale,SAS)评分比较,差异无统计学意义(P>0.05);干预后,研究组患者的SDS评分、SAS评分较常规组降幅明显(P<0.05)。干预前,两组患者的GCQ与PSQI评分比较,差异无统计学意义(P>0.05)。干预后,研究组患者的GCQ评分升高幅度及PSQI评分降幅均较常规组更明显(P<0.05)。研究组患者有效率(92%)略高于常规组患者有效率(84%),但差异无统计学意义(P>0.05)。研究组患者并发症发生率(4%)低于常规组患者并发症发生率(16%),差异有统计学意义(P<0.05)。结论循证理念下健康教育结合无创正压通气对围绝经期COPD合并呼吸衰竭患者的血气指标、焦虑抑郁情绪、睡眠质量均有显著改善作用,可减少并发症发生。

Objective To explore the effect of evidence-based health education combined with non-invasive positive pressure ventilation on the clinical efficacy of menopausal women with chronic obstructive pulmonary disease(COPD)and respiratory failure.MethodsFrom February 2021 to February 2024,100 patients with menopausal COPD complicated with respiratory failure admitted to Wenzhou TCM Hospitalwere observed.According to the different intervention methods,100 patients were divided into routine group and study group,with 50 patients in each group.The patients in routine group were given routine intervention combined with non-invasive positive pressure ventilation,and the patients in study group were given health education under the evidence-based concept on the basis of routine group.The blood gas index,psychological state,general comfort question naire(GCQ)and Pittsburgh sleep quality index(PSQI)scores,treatment effect and complications were compared between two groups.ResultsBefore intervention,insignificant changes existed in arterial partial pressure of carbon dioxide(PaCO_(2)),arterial oxygen partial pressure(PaO_(2)),and oxygen saturation of blood(SaO_(2))levels between both groups(P>0.05).After the intervention,the PaCO_(2)of study group fell belowthan that of routine group,while PaO_(2)and SaO_(2)soared beyond thanthose of routine group(P<0.05).Before intervention,no variance noted in self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores inboth groups(P>0.05).After the intervention,the SDS score points and SAS score points of study group were lower than those of routine group,and were statistically different(P<0.05).Before intervention,there was no difference in GCQ and PSQI scores between two groups(P>0.05).After intervention,The study group exhibited a superior GCQ score compared to routine group,coupled with an inferior PSQI score(P<0.05).Comparing the ratings,the study group achieved a slightly higher proficiency rate(92%vs.84%)yet no significant disparity emerged(P>0.05).Study group’s complication rate at 4.00%was significantly lower than routine group’s at 16.00%.Statistically significant difference observed(P<0.05).ConclusionUnder the concept of evidence-based healtheducation combined with non-invasive positive pressure ventilation,the blood gas index,anxiety,depression and sleep quality of patients with climacteric chronic obstructive pulmonary disease and respiratory failure were significantly improved,which could reduce the occurrence of complications.