家庭无创正压通气护理干预模式的建立与实施  

Establishment of nursing intervention mode for family noninvasive positive pressure ventilation

作　　者：潘岁月[1] 戴小明[1] 郭红荣[1] 宋湘云[1] 

机构地区：[1]南京医科大学附属常州第二人民医院呼吸科,江苏常州213003

出　　处：《护理学杂志》2011年第23期71-73,共3页

基　　金：常州市第八批科技计划社会发展指导性项目(CS2006910)

摘　　要：目的探讨护理干预对家庭无创正压通气治疗效果和自我管理能力的影响。方法将接受家庭无创正压通气(NPPV)治疗的慢性高碳酸血症性呼吸衰竭(CHRF)的慢性阻塞性肺疾病(COPD)患者63例随机分为观察组(32例)和对照组(31例)。对照组予常规指导;观察组采用家庭NPPV护理干预模式进行干预,具体包括成立家庭NPPV管理小组、选择Orem自理理论作为指导、制订教育目标与内容、制定并实施家庭访视内容。结果两组干预3个月、6个月后NPPV自我管理能力、血气分析比较,差异有统计学意义(均P<0.05)。结论建立合理的护理干预模式可有效提高家庭NPPV治疗患者的自我管理能力和治疗效果。Objective To explore suitable nursing intervention mode for family noninvasive positive pressure ventilation,and observe its effect on self management ability of patients. Methods Sixty-three patients with chronic hypercapnia of respiratory failure（CHRF） and chronic obstructive pulmonary disease（COPD） who received home-based noninvasive positive pressure ventilation（NPPV） were divided into an observation group（32 cases） and a control group（31 cases） randomly.The control group received conventional instruction from medical staff.The observation group were subjected to nursing intervention especially designed for home-based NPPV： a home-based NPPV service group was built,the group gave instruction based on Orem′s self care theory,they set the objectives and contents of health education,and they also specified the contents of family visits and made them happen. Results Patients′ self-management ability,and blood gas analysis at 3rd month and 6th month of intervention between the 2 groups had significant differences（P0.05 for all）. Conclusion Suitable nur-sing intervention mode enables those receiving home-based NPPV to improve their self-management ability and treatment effect.

关 键 词：慢性阻塞性肺疾病 慢性高碳酸血症 呼吸衰竭 无创正压通气 家庭治疗 护理模式 

分 类 号：R473.2[医药卫生—护理学]