整体护理在呼吸衰竭患者中的应用  

Application of holistic nursing interventions for patients with respiratory failure

作　　者：邹雪琴 张艳艳 马燕 陈猛 张希根 

机构地区：[1]江苏省南京市中心医院内科,江苏南京210018 [2]江苏省南京市中心医院护理部,江苏南京210018 [3]南京仁天生物科技有限公司,江苏南京210017

出　　处：《中西医结合护理（中英文）》2016年第10期53-55,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨整体护理在呼吸衰竭患者中的应用效果。方法 65例呼吸衰竭患者予以对症治疗并采用整体护理,记录治疗情况和并发症发生情况,比较治疗干预前和干预后1周血气分析指标及急性生理与慢性健康(APACHE II)评分。结果本组治疗成功率86.2%(56/65),并发症发生率4.6%(3/65)。治疗干预1周后,本组患者氧分压(PaO_2)和p H值高于干预前,二氧化碳分压(PaCO_2)和APACHE II评分均低于干预前,差异有统计学意义(P<0.05或P<0.01)。结论在呼吸衰竭临床护理中采用整体护理,可有效减少并发症的发生,提高患者生存质量,有利于患者早日康复。Objective To investigate the efficacy of holistic nursing for patients with respiratory failure. Methods A total of 65 patients with respiratory failure were given symptomatic treatment and holistic nursing. Therapeutic conditions and complications were recorded,and blood-gas analysis indexes and acute physiology and chronic health evaluation（ APACHE Ⅱ） score were compared before and 1 week after interventions. Results The effective rate was 86. 2%（56 /65）,and the incidence of complications was 4. 6%（3 /65）. One week after interventions,arterial partial pressure of oxygen（PaO2） and pH were increased while arterial partial pressure of carbon dioxide（ PaCO2） and APACHE Ⅱ score were decreased compared with those before treatment,with significant differences（ P〈0.05 or P〈0.01）. Conclusion Application of holistic nursing in the clinical treatment of respiratory failure can effectively reduce the occurrence of complications,improve patients＇ quality of life and be beneficial to their early rehabilitation.

关 键 词：呼吸衰竭 整体护理 生活质量 并发症 

分 类 号：R473.5[医药卫生—护理学]