摘要
目的:通过对无创呼吸机治疗COPD合并呼吸衰竭患者实施不同的护理方法,比较两组的治疗效果,探究两种护理方法的特点。方法:从2017年1月至2018年8月来本院诊治的COPD合并呼吸衰竭的患者中随机抽取86例,男性36例,女性50例,年龄60~78岁,平均年龄为(63.00±4.25)岁。随机分为对照组43例:实施常规护理;观察组43例:实施常规护理+综合护理。结果:观察组SaO_2、PaO_2、PaCO_2分别为(96.55±6.72)mmHg、(92.32±5.18)mmHg、(38.23±4.25)mmHg,均高于对照组(P<0.05);观察组干预后FEV1水平(L)、FEV1/FVC(%)水平分别为(1.98±0.52)和(58.29±7.18),均高于对照组(P<0.05);观察组总满意度高于对照组(P<0.05)。结论:通过综合护理干预可以有效提高无创呼吸机治疗COPD合并呼吸衰竭患者的肺功能,提高患者总满意度。
Objective:To explore the characteristics of two kinds of nursing methods by comparing the therapeutic effects of two groups of patients with COPD and respiratory failure treated by non-invasive ventilator. Methods: From January 2017 to August 2018, 86 patients with COPD complicated with respiratory failure were randomly selected, including 36 males and 50 females. The age ranged from 60 to 78 years, with an average age of(63.00±4.25)years. 43 cases were randomly divided into control group: Implementing routine nursing care; 43 cases were randomly divided into observation group:implementing routine nursing care + comprehensive nursing.Results: The observed groups of SaO_2, PaO_2 and PaCO_2 were(96.55±6.72)mmHg,(92.32±5.18)mmHg and(38.23±4.25)mmHg, which were higher than the control group(P < 0.05). The FEV1 level(L) and FEV1/FVC(%) level of the observation group were respectively observed. The results were(1.98±0.52)and(58.29±7.18), which were higher than the control group(P < 0.05). The total satisfaction of the observation group was higher than that of the control group(P < 0.05).Conclusion: Comprehensive nursing intervention can effectively improve the pulmonary function of COPD patients with respiratory failure treated by non-invasive ventilator, and improve the total satisfaction of patients.
引文
[1] 刘晓丽,张岩.无创呼吸机治疗COPD合并Ⅱ型呼吸衰竭23例整体护理干预[J].齐鲁护理杂志,2014,20(15):85-87.
[2] 隋玉娟,亓小颖.综合护理干预在COPD合并呼吸衰竭患者中的应用[J].齐鲁护理杂志,2013,19(07):81-82.
[3] 何爱萍.综合护理干预对无创呼吸机治疗COPD合并呼吸衰竭患者的影响[J].临床医学工程,2012,19(06):1002-1003.
[4] 王琴.强化护理干预在COPD合并Ⅱ呼衰无创机械通气中的应用[J].内蒙古中医药,2014,33(05):145.
[5] 崔楠.探究综合护理干预对无创呼吸机治疗COPD合并呼吸衰竭患者的改善作用[J].中国保健营养,2016,26(01):216-217.
[6] 黄英华,邝凯仪,陆秀云.综合护理干预对无创呼吸机治疗COPD合并呼吸衰竭患者的影响分析[J].数理医药学杂志,2017,30(06):937-939.
[7] 苏洪,王丽,胡海红.综合护理干预对无创呼吸机治疗COPD合并Ⅱ型呼吸衰竭患者的影响[J].医疗装备,2017,30(12):164-165.
[8] 孙敏.无创呼吸机治疗COPD并呼吸衰竭的护理探讨[J].当代医学,2017,23(11):176-177.