专职护理小组结合精细化护理在BiPAP呼吸机治疗慢阻肺急性加重期合并呼吸衰竭患者中的应用

Clinical effect of full-time nursing team using fine nursing intervention in treating patients with acute exacerbation of chronic obstructive pulmonary disease combining with respiratory failure

目的:分析专职护理小组结合精细化护理在无创正压通气(non-invasive positive pressure ventilation,NPPV)呼吸机治疗慢性阻塞性肺疾病急性加重期(acute exacerbation of chronic obstructive pulmonary disease,AECOPD)合并呼吸衰竭患者中的应用价值。方法:选取江苏省东台市人民医院2021年4月至2022年4月BiPAP(bilevel positive airway pressure,BiPAP)呼吸机治疗的AECOPD合并呼吸衰竭患者82例,随机分为对照组(n=41)、观察组(n=41),对照组为常规护理,观察组为专职护理小组结合精细化护理,比较两组患者肺功能、血气指标及并发症发生率。结果:护理前,两组患者肺功能比较差异无统计学意义(P>0.05),护理后观察组更优(P<0.05);护理前,两组患者血气指标比较差异无统计学意义(P>0.05),护理后观察组较对照组更优(P<0.05),且观察组患者并发症发生率较对照组更低(P<0.05)。结论:对AECOPD合并呼吸衰竭患者,采用专职护理小组结合精细化护理可改善肺功能、血气指标,降低并发症发生率。

Objective:To evaluate clinical effect of full-time nursing team using fine nursing intervention in treating patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)combined with respiratory failure with non-invasive bilevel positive airway pressure(BiPAP)ventilator.Methods:A total of 82 cases of patients with AECOPD combined with respiratory failure treated with BiPAP ventilator in Dongtai People's Hospital of Jiangsu Province(April 2021 to April 2022)were selected and randomly divided into the control group(n=41)and observation group(n=41).The control group were given routine nursing intervention.The observation group was given fine nursing intervention by the full-time nursing team.The pulmonary function(forced expiratory volume in the first second,forced vital capacity,FEV1/FVC,ratio of FEV1 to predicted value),blood gas indexes(arterial partial pressure of carbon dioxide,arterial partial pressure of oxygen,arterial oxygen saturation,pH value)and complication rate of the two groups were compared.Results:Before nursing,the pulmonary function of the two groups was compared and no significant difference were found(P>0.05).After nursing intervention,the pulmonary function of the observation group was significantly better than that of the control group(P<0.05).There was no significant difference in blood gas index between the two groups before nursing(P>0.05).However,the blood gas index of the observation group was better than that of the control group after nursing intervention(P<0.05).Compared with the control group,the incidence of complications was lower in the observation group(P>0.05).Conclusion:For AECOPD patients combined with respiratory failure,fine nursing intervention under full-time nursing team would be more likely to improve patients’pulmonary function,blood gas indexes and reduce their incidence of complications.