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心理评估-治疗在有创-无创序贯机械通气治疗中的效果观察 被引量:4

Effect of Psychological Assessment on Sequential Noninvasive Following Invasive Mechanical Ventilation
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摘要 目的探究心理评估-治疗对慢性阻塞性肺疾病伴有呼吸衰竭患者使用有创-无创序贯机械通气的临床意义。方法选择2016年5月—2018年1月来绵阳市第三人民医院就诊的慢性阻塞性肺病伴呼吸衰竭患者40例,通过随机数表法均分为对照组和观察组,各20例。两组患者均符合纳入标准。对照组有创-无创序贯机械通气患者采用传统心理护理方法;观察组有创-无创序贯机械通气患者在采用心理评估-治疗的方式在患者使用呼吸机期间进行干预治疗。对两组患者的无创通气时间、机械通气总时间、住院时间、再插管率、PHQ-9及GAD-7问卷分值进行对比分析。结果两组患者在无创通气时间[(4.55±3.56)d VS(10.4±3.26)d]、机械通气总时间[(17.4±3.57)d VS(13.5±3.79)d]、住院时间[(19.9±3.68)d VS(16.85±3.2)d]比较,差异有统计学意义(P<0.05);在患者广泛性焦虑自评量表GAD-7问卷分值[(14.35±3.29分)VS(11.95±2.87分)]及患者PHQ-9健康问卷抑郁症状群量表问卷分值[(15.95±3.41分)VS(13.5±3.25分)]两组差异有统计学意义(P<0.05),两组患者的再插管率(20%VS 5%)差异无统计学意义(P>0.05)。结论在本次实验中,运用心理评估-治疗的方式干预有创-无创序贯机械通气治疗的慢性阻塞性肺病伴呼吸衰竭的患者,可以减少患者使用无创通气时间、机械通气总时间以及住院时间,改善患者的不良情绪,对患者的再插管率无影响。 Objective To explore the clinical significance of psycho-assessment-therapy in the use of invasivenoninvasive sequential mechanical ventilation in patients of chronic obstructive pulmonary disease(COPD)with respiratory failure.Methods Forty cases of COPD with respiratory failure who came to hospital from May 2016 to January 2018 were selected and divided into control group and observation group by random number table method.Both of two groups met the inclusion criteria.Patients in the control group were treated with traditional psychological nursing methods,while those in the observation group were treated with psychological evaluation during the use of ventilator.The non-invasive ventilation time,total mechanical ventilation time,hospitalization time,re-intubation rate,PHQ-9,and GAD-7 questionnaire scores of the two groups were compared and analyzed.Results There were significant differences in noninvasive ventilation time[(4.55±3.56 days)VS(10.4±3.26 days)],total mechanical ventilation time[(17.4±3.57 days)VS(13.5±3.79 days)],and hospitalization time[(19.9±3.68 days)VS(16.85±3.2 days)]between the two groups(P<0.05).The scores of GAD-7 questionnaire[(14.35±3.29 days)]were significantly different between the two groups(P<0.05).The scores of VS(11.95+2.87)and PHQ-9 Health Questionnaire Depression Symptom Group Scale[(15.95±3.41)VS(13.5±3.25)]were significantly different between the two groups(P<0.05).There was no significant difference in the re-intubation rate(20%VS 5%)between the two groups(P>0.05).Conclusion Psychological assessment-therapy can reduce the time of non-invasive ventilation,the total time of mechanical ventilation and hospitalization,improve the patients’mood,and had no effect on the reintubation rate in patients of COPD with respiratory failure.
作者 王蕾 曹倩 张晗晖 WANG Lei;CAO Qian;ZHANG Hanhui(The Third Hospital of Mianyang,Sichuan Mental Health Center,Mianyang 621000,China)
出处 《实用心脑肺血管病杂志》 2019年第S1期36-39,共4页 Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词 心理评估-治疗 有创-无创序贯机械通气 慢性阻塞性肺病 呼吸衰竭 效果观察 Psycho-assessment-therapy Invasive-noninvasive sequential mechanical ventilation COPD Respiratory failure Efficiency
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