心理应激护理干预对呼吸衰竭患者的影响研究
摘要
目的探讨心理应激护理干预对呼吸衰竭患者的临床应用。方法选取2014年3月~2016年3月我科收治的68例RF并行ET治疗的患者为研究对象,采用专业软件医学研究随机分组系统Rand A1.0将其分为研究组和对照组,各34例。对照组入院后采用ET治疗,并给予日常规范化护理;研究组在对照组基础上加强心理应激护理。结果护理后,研究组FVC、FEV1指标水平均明显升高,通气时间明显降低,与对照组比较,差异均有统计学意义(t=8.391,P=0.010)。与护理前比较,两组RF患者的焦虑和抑郁情绪评分结果比较,差异无统计学意义(t=1.293,P=0.527);护理后,研究组的焦虑和抑郁情绪评分较护理前明显降低,与对照组比较,差异有统计学意义(t=9.987,P=0.002),而对照组护理前后心理状态评分比较,差异有统计学意义(t=0.964,P=0.362)。研究组护理总满意度为97.0%(33/34),显著高于对照组的76.4%(26/34),差异有统计学意义(x2=6.594,P=0.005)。结论加强心理护理有助于减少RF患者ET时的应激反应,改善呼吸困难及呼吸频率,降低负性情绪的发生,提高治疗顺从性及满意度。
Objective To explore the clinical application of psychological stress nursing intervention in patients with respiratory failure. Methods 68 cases of RF March 2014 to 2016 year in March in the Department were treated with ET patients as research subjects, the research of medical professional software system Rand A1.0 the randomized subjects were divided into study group and control group with 34 cases in each group, the control group subjects into the hospital after treatment with ET. Daily and standardized nursing. The subjects in the study group were given psychological stress nursing on the basis of the control group. Results After nursing data showed that the FVC and FEV1 indexes of the patients in the study group were significantly increased, and the ventilation time was significantly lower, compared with the control group, there were significant differences(t=8.391, P=0.010). Compared with before treatment, no significant anxiety and depression scores of the two groups of patients with RF(t=1.293, P=0.527), nursing anxiety and depression score was significantly lower than the study group before treatment, there was statistical significance compared with the control group(t=9.987, P=0.002); while the control group scores before and after nursing psychological state is more obvious the difference(t=0.964 P=0.362). The total satisfaction degree of the patients in the study group was 97%(33/34), which was significantly higher than that of the control group 76.4%(26/34), and there was a significant difference between the two groups(x2=6.594, P=0.005). Conclusion Strengthening psychological nursing is helpful to reduce the stress reaction of RF patients at ET, improve dyspnea and respiratory rate, reduce the occurrence of negative emotion, and improve the compliance and satisfaction of treatment.
Objective To explore the clinical application of psychological stress nursing intervention in patients with respiratory failure. Methods 68 cases of RF March 2014 to 2016 year in March in the Department were treated with ET patients as research subjects, the research of medical professional software system Rand A1.0 the randomized subjects were divided into study group and control group with 34 cases in each group, the control group subjects into the hospital after treatment with ET. Daily and standardized nursing. The subjects in the study group were given psychological stress nursing on the basis of the control group. Results After nursing data showed that the FVC and FEV1 indexes of the patients in the study group were significantly increased, and the ventilation time was significantly lower, compared with the control group, there were significant differences(t=8.391, P=0.010). Compared with before treatment, no significant anxiety and depression scores of the two groups of patients with RF(t=1.293, P=0.527), nursing anxiety and depression score was significantly lower than the study group before treatment, there was statistical significance compared with the control group(t=9.987, P=0.002); while the control group scores before and after nursing psychological state is more obvious the difference(t=0.964 P=0.362). The total satisfaction degree of the patients in the study group was 97%(33/34), which was significantly higher than that of the control group 76.4%(26/34), and there was a significant difference between the two groups(x2=6.594, P=0.005). Conclusion Strengthening psychological nursing is helpful to reduce the stress reaction of RF patients at ET, improve dyspnea and respiratory rate, reduce the occurrence of negative emotion, and improve the compliance and satisfaction of treatment.
引文
[1]林永霞,凡兰桂.COPD并发呼吸衰竭17例针对性护理[J].齐鲁护理杂志,2013,19(5):94-95.
[2]董美群.护理干预对呼吸机治疗老年COPD合并呼衰患者的疗效[J].中国老年保健医学,2014,9(4):89-90.
[3]马立秋,马秋,马爱华.70例慢性阻塞性肺疾病患者的护理体会[J].医疗护理,2014,(5):144-145.
[4]朱冬梅.心理护理干预对慢性阻塞性肺气肿伴呼吸衰竭患者的影响分析[J].中国卫生标准管理,2015,(6):187-188.
[5]高云秀,崔景晶,杜瑞,等.慢性阻塞性肺疾病急性发作合并呼吸衰竭的护理体会[J].临床合理用药,2014,7(9):160-161.
[6]刘云.COPD急性发作合并呼吸衰竭患者的护理[J].护理实践与研究,2013,10(2):62-64.
[7]王爱丽.心理护理干预对慢性阻塞性肺气肿伴呼吸衰竭患者的影响分析[J].特别健康:下,2014,(5):173-174.
[8]赖秋英,程传红,张建华.心理干预对COPD伴呼吸衰竭患者使用无创呼吸机的影响[J].医学信息,2015,(24):145.
[9]孙媛媛.综合护理干预在COPD合并Ⅱ型呼吸衰竭患者治疗中的效果观察[J].当代护士旬刊,2017,(4):41-43.
[10]王玮.呼吸衰竭患者的护理[J].中国公共卫生,2015,(A01):248-248.
[11]王荣.整体护理干预在呼吸衰竭患者中应用效果评价[J].河北医科大学学报,2015,36(6):692-694.
[12]杨胜菊,陈国丽.心理护理干预对慢性阻塞性肺气肿伴呼吸衰竭患者的影响[J].心理医生,2016,22(6):629.
[2]董美群.护理干预对呼吸机治疗老年COPD合并呼衰患者的疗效[J].中国老年保健医学,2014,9(4):89-90.
[3]马立秋,马秋,马爱华.70例慢性阻塞性肺疾病患者的护理体会[J].医疗护理,2014,(5):144-145.
[4]朱冬梅.心理护理干预对慢性阻塞性肺气肿伴呼吸衰竭患者的影响分析[J].中国卫生标准管理,2015,(6):187-188.
[5]高云秀,崔景晶,杜瑞,等.慢性阻塞性肺疾病急性发作合并呼吸衰竭的护理体会[J].临床合理用药,2014,7(9):160-161.
[6]刘云.COPD急性发作合并呼吸衰竭患者的护理[J].护理实践与研究,2013,10(2):62-64.
[7]王爱丽.心理护理干预对慢性阻塞性肺气肿伴呼吸衰竭患者的影响分析[J].特别健康:下,2014,(5):173-174.
[8]赖秋英,程传红,张建华.心理干预对COPD伴呼吸衰竭患者使用无创呼吸机的影响[J].医学信息,2015,(24):145.
[9]孙媛媛.综合护理干预在COPD合并Ⅱ型呼吸衰竭患者治疗中的效果观察[J].当代护士旬刊,2017,(4):41-43.
[10]王玮.呼吸衰竭患者的护理[J].中国公共卫生,2015,(A01):248-248.
[11]王荣.整体护理干预在呼吸衰竭患者中应用效果评价[J].河北医科大学学报,2015,36(6):692-694.
[12]杨胜菊,陈国丽.心理护理干预对慢性阻塞性肺气肿伴呼吸衰竭患者的影响[J].心理医生,2016,22(6):629.