预见性护理对无创机械通气治疗Ⅱ型呼吸衰竭疗效的影响
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摘要
目的探讨预见性护理对无创机械通气治疗Ⅱ型呼吸衰竭疗效的影响。方法选择2013年6月至2014年12月在新乡医学院第三附属医院接受无创机械通气治疗的86例Ⅱ型呼吸衰竭患者为研究对象,将患者分为对照组和观察组,每组43例。患者均根据病情给予对症治疗,在此基础上对照组患者实施常规护理,观察组患者实施预见性护理,比较2组患者的治疗效果和并发症发生情况。结果观察组患者日排痰量为(45. 8±6. 2) m L,机械通气时间和住院时间分别为(8. 5±2. 3)、(13. 2±4. 6) d;对照组患者的日排痰量为(32. 5±5. 6) m L,机械通气时间和住院时间分别为(11. 2±3. 4)、(19. 5±5. 3) d;观察组患者日排痰量明显多于对照组,而机械通气时间和住院时间均明显短于对照组(P <0. 05)。观察组患者面部感染、腹胀、压疮和上消化道出血发生率分别为2. 3%、2. 3%、0. 0%和2. 3%,对照组患者面部感染、腹胀、压疮和上消化道出血发生率分别为18. 6%、16. 3%、9. 3%和11. 6%;观察组患者面部感染、腹胀、压疮和上消化道出血发生率均显著低于对照组(P <0. 05)。结论预见性护理能够明显提高无创机械通气治疗Ⅱ型呼吸衰竭患者的临床效果,减少呼吸系统并发症。
Objective To explore the effect of predictive nursing on type Ⅱ respiratory failure in patients undergoing non-invasive mechanical ventilation therapy. Methods A total of 86 cases with typeⅡrespiratory failure who received noninvasive mechanical ventilation in the Third Affiliated Hospital of Xinxiang Medical University from June 2013 to December2014 were selected and divided into the control group( n = 34) and observation group( n = 34). All patients were given symptomatic treatment. Based on this,the patients in control group were given conventional nursing; the patients in observation group were given predictive nursing. To compare The clinical effect and incidence of complication were compared between the two groups. Results The daily amount of expectoration drainage of patients in observation group and control group was( 45. 8 ± 6. 2) m L and( 32. 5 ± 5. 6) m L,the mechanical ventilation time of patients in observation group and control group was( 8. 5 ± 2. 3) d and( 11. 2 ± 3. 4) d,the hospitalization time of patients in observation group and control group was( 13. 2 ±4. 6) d and( 19. 5 ± 5. 3) d,respectively; the daily amount of expectoration drainage of patients in observation group was significantly higher than that in the control group( P < 0. 05); the mechanical ventilation time and hospitalization time of patients in observation group were significantly shorter than those in the control group( P < 0. 05). The incidence of facial infection,abdominal distention,pressure ulcers and upper gastrointestinal hemorrhage of patients in observation was 2. 3%,2. 3%,0. 0% and 2. 3% respectively; the incidence of facial infection,abdominal distention,pressure ulcers and upper gastrointestinal hemorrhage of patients in control group was 18. 6%,16. 3%,9. 3% and 11. 6% respectively; the incidence of facial infection,abdominal distention,pressure ulcers and upper gastrointestinal hemorrhage of patients in observation group was significantly lower than that in the control group( P < 0. 05). Conclusion The predictive nursing can obviously improve the clinical effect and reduce the incidence of respiratory system complication of type Ⅱ respiratory failure patients undergoing non-invasive mechanical ventilation.
Objective To explore the effect of predictive nursing on type Ⅱ respiratory failure in patients undergoing non-invasive mechanical ventilation therapy. Methods A total of 86 cases with typeⅡrespiratory failure who received noninvasive mechanical ventilation in the Third Affiliated Hospital of Xinxiang Medical University from June 2013 to December2014 were selected and divided into the control group( n = 34) and observation group( n = 34). All patients were given symptomatic treatment. Based on this,the patients in control group were given conventional nursing; the patients in observation group were given predictive nursing. To compare The clinical effect and incidence of complication were compared between the two groups. Results The daily amount of expectoration drainage of patients in observation group and control group was( 45. 8 ± 6. 2) m L and( 32. 5 ± 5. 6) m L,the mechanical ventilation time of patients in observation group and control group was( 8. 5 ± 2. 3) d and( 11. 2 ± 3. 4) d,the hospitalization time of patients in observation group and control group was( 13. 2 ±4. 6) d and( 19. 5 ± 5. 3) d,respectively; the daily amount of expectoration drainage of patients in observation group was significantly higher than that in the control group( P < 0. 05); the mechanical ventilation time and hospitalization time of patients in observation group were significantly shorter than those in the control group( P < 0. 05). The incidence of facial infection,abdominal distention,pressure ulcers and upper gastrointestinal hemorrhage of patients in observation was 2. 3%,2. 3%,0. 0% and 2. 3% respectively; the incidence of facial infection,abdominal distention,pressure ulcers and upper gastrointestinal hemorrhage of patients in control group was 18. 6%,16. 3%,9. 3% and 11. 6% respectively; the incidence of facial infection,abdominal distention,pressure ulcers and upper gastrointestinal hemorrhage of patients in observation group was significantly lower than that in the control group( P < 0. 05). Conclusion The predictive nursing can obviously improve the clinical effect and reduce the incidence of respiratory system complication of type Ⅱ respiratory failure patients undergoing non-invasive mechanical ventilation.
引文
[1]樊丹娜,李怡兰,杨静.综合护理干预对急性呼吸衰竭无创通气患者的应用价值[J].实用临床医药杂志,2015,19(6):113-116.
[2]李燕霞,王道海,符小玲.双水平式呼吸道正压通气治疗COPD急性加重期患者的护理观察[J].河北医药,2018,40(4):621-623,627.
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[4]欧阳慧娟.优质护理配合无创通气治疗对COPD急性加重期患者肺功能、治疗依从性及生活质量的影响[J].齐鲁护理杂志,2018,24(11):74-76.
[5]孟庆芳,张存芝.预见性护理对慢性病患者自我效能感和医学应对方式的影响[J].中华现代护理杂志,2015,21(29):3540-3542.
[6]于彬.预见性护理对慢性阻塞性肺病应用无创机械通气患者的疗效影响[J].医学信息,2014,27(12):159-160.
[7]姚来明.预见性护理在冠心病心绞痛患者护理过程中的应用效果[J].齐齐哈尔医学院学报,2018,24(7):72-74.
[8]于彬.预见性护理对慢性阻塞性肺病应用无创机械通气患者的疗效影响[J].医学信息,2014,27(12):159-160.
[9]仝会坤,白素芬,张丽玲,等.预见性护理对Ⅱ型呼吸衰竭患者应用无创呼吸机并发症的影响[J].河北医药,2015,37(2):316-317.
[2]李燕霞,王道海,符小玲.双水平式呼吸道正压通气治疗COPD急性加重期患者的护理观察[J].河北医药,2018,40(4):621-623,627.
[3]崔佰红,顾海燕,龚宏.预见性护理对颈椎前路手术患者术后并发症的影响[J].现代中西医结合杂志,2013,22(5):204-205.
[4]欧阳慧娟.优质护理配合无创通气治疗对COPD急性加重期患者肺功能、治疗依从性及生活质量的影响[J].齐鲁护理杂志,2018,24(11):74-76.
[5]孟庆芳,张存芝.预见性护理对慢性病患者自我效能感和医学应对方式的影响[J].中华现代护理杂志,2015,21(29):3540-3542.
[6]于彬.预见性护理对慢性阻塞性肺病应用无创机械通气患者的疗效影响[J].医学信息,2014,27(12):159-160.
[7]姚来明.预见性护理在冠心病心绞痛患者护理过程中的应用效果[J].齐齐哈尔医学院学报,2018,24(7):72-74.
[8]于彬.预见性护理对慢性阻塞性肺病应用无创机械通气患者的疗效影响[J].医学信息,2014,27(12):159-160.
[9]仝会坤,白素芬,张丽玲,等.预见性护理对Ⅱ型呼吸衰竭患者应用无创呼吸机并发症的影响[J].河北医药,2015,37(2):316-317.