综合护理干预在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者中的应用分析

目的:讨论慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者治疗中应用综合护理干预的护理效果。方法:选取2014年1月至2016年6月期间,笔者医院进行慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭治疗的60例患者,按照入院时间进行分组实验,其中实验组进行综合性护理干预措施,对照组进行常规护理干预措施,比较两组患者护理后的治疗依从性、呼吸功能、血气指标、心理状态及患者对护理措施的满意度。结果:护理后实验组患者的治疗依从性为93.3%,对照组为80%;治疗后实验组与对照组呼吸功能(FEV1,FEV1/FVC、FEV1%pred)与血气指标(PaO2、PaCO2)各值有显著差异,P<0.05;用焦虑自评量表(SAS)和对抑郁自评量表(SDS)评定患者心理状态结果为:护理后实验组平均分为(42.3±11.4)分,对照组平均分为(59.3±13.4)分,;实验组护理满意度为96.7%,对照组患者的护理满意度为83.3%。结论:综合护理是护理措施中必不可少的一部分,尤其在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者的护理中,综合护理可以有效的提高患者治疗的依从性,改善呼吸功能,降低患者不良情绪的发生,同时可以提高护理的整体水平,是患者容易接受的一种护理方式。

Objective: To discuss the nursing effect of comprehensive nursing intervention in patients with chronic obstructive pulmonary disease(COPD) complicated with type Ⅱrespiratory failure. Methods: From January 2014 to June 2016, 60 patients with chronic obstructive pulmonary disease(COPD) and type Ⅱrespiratory failure were divided into two groups according to the time of admission. The experimental group received comprehensive nursing interventions, The patients in the control group were treated with conventional nursing intervention. The compliance of treatment, respiratory function, blood gas index, psychological state and satisfaction of nursing measures were compared between the two groups. RESULTS: After treatment, the compliance rate of the patients in the experimental group was 93.3% and that in the control group was 80%. After treatment, the FEV1, FEV1/FVC, FEV1% pred and PaO2, PaCO2 of the experimental group and the control group(SAS) and self-rating depression scale(SDS) to evaluate the psychological state of patients: after nursing the experimental group were divided into(42.3 ± 11.4(P <0.05), and there was significant difference(59.3 ± 13.4) points in the control group, 96.7% in the experimental group and 83.3% in the control group. Conclusion: Comprehensive nursing care is an indispensable part of the nursing measures, especially in patients with chronic obstructive pulmonary disease with type respiratory Ⅱfailure nursing care, comprehensive care can effectively improve patient compliance, improve respiratory function and reduce patients with poor Mood, and can improve the overall level of care, patients are easily accepted as a way of care.