经鼻高流量氧疗在老年呼吸衰竭患者中的标准化护理分析

Analysis of Standardized Nursing for Nasal High-flow Oxygen Therapy in Elderly Patients with Respiratory Failure

目的:探究经鼻高流量氧疗在老年呼吸衰竭患者中的治疗效果,并分析标准化护理的作用。方法:选取2020年1月—2023年1月期间山东大学齐鲁医院内科收治的80例老年呼吸衰竭患者为研究对象,按随机法分组研究,即对照组(n=40)、研究组(n=40)。两组老年患者均接受经鼻高流量氧疗治疗,在治疗过程中对照组采用常规护理,研究组实施标准化护理,比较两组的护理效果。结果:研究组的氧疗有效率(97.50%)显著高于对照组(80.00%),P<0.05。两组干预后的血气指标均较干预前明显改善,且研究组的PaO_(2)明显低于对照组,其PaCO_(2)明显高于对照组,P<0.05。研究组的呼吸频率明显快于对照组,其GCQ评分明显高于对照组,P<0.05。结论:经鼻高流量氧疗可显著改善老年呼吸衰竭患者的各项临床症状及指标,辅以标准化护理效果更佳,值得推广。

Objective:To explore the therapeutic effect of nasal high-flow oxygen therapy in elderly patients with respiratory failure and analyze the effect of standardized nursing.Methods:A total of 80 elderly patients with respiratory failure admitted to the Internal Medicine Department of Qilu Hospital of Shandong University from January 2020 to January 2023 were selected as the research objects and divided into two groups by random method:the control group(n=40)and the study group(n=40).Both groups of elderly patients were treated with nasal high-flow oxygen therapy.The control group was treated with routine nursing while the study group was treated with standardized nursing.The nursing effect of the two groups was compared.Results:The effective rate of oxygen therapy in the study group(97.50%)was significantly higher than that in the control group(80.00%),P<0.05.After intervention,blood gas indexes of both groups were significantly improved compared with those before intervention,and PaO_(2) of the study group was significantly lower than that of the control group,and PaCO_(2) of the study group was significantly higher than that of the control group,P<0.05.The respiratory rate of the study group was significantly faster than that of the control group,and the GCQ score of the study group was significantly higher than that of the control group(P<0.05).Conclusion:Nasal high-flow oxygen therapy can significantly improve the clinical symptoms and indicators of elderly patients with respiratory failure,which has better effect supplemented with standardized nursing,and is worthy of promotion.