综合护理干预对COPD合并Ⅱ型呼吸衰竭患者无创正压通气治疗效果及心理状态的影响  

Influence of comprehensive nursing intervention on the treatment effect and psychological state of COPD patients with type Ⅱ respiratory failure after non-invasive positive pressure ventilation

作　　者：马琳琳 

机构地区：[1]大连市西岗区卫生防治站,116000

出　　处：《中国实用医药》2018年第4期125-127,共3页China Practical Medicine

摘　　要：目的观察综合护理干预对慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭患者无创正压通气治疗的效果及心理状态影响。方法 108例无创正压通气治疗的COPD合并Ⅱ型呼吸衰竭患者,按照护理方案不同分为观察组和对照组,每组54例。对照组患者采用常规护理,观察组患者采用综合护理干预。比较两组肺功能及心理状态。结果护理后,观察组心率(HR)、呼吸频率(RR)均低于对照组,差异具有统计学意义(P<0.05);观察组每分钟最大通气量(MVV)、第一秒用力呼气容积(FEV1)、第一秒用力呼气容积占预计值的百分比(FEV1%)均高于对照组,差异具有统计学意义(P<0.05)。护理后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分分别为(24.14±2.32)、(28.47±3.11)分,均低于对照组的(35.62±2.47)、(33.62±1.42)分,差异具有统计学意义(t=24.8946、11.0694,P<0.05)。结论 COPD合并Ⅱ型呼吸衰竭患者接受无创正压通气治疗中行综合护理干预能有效改善呼吸、心率,提高肺功能效果显著。Objective To observe the effect of comprehensive nursing intervention of non-invasive positive pressure ventilation in treating COPD patients with type Ⅱ respiratory failure and its influence on psychological state. Methods A total of 108 COPD patients with type Ⅱ respiratory failure undergoing non- invasive positive pressure ventilation were divided by different nursing regimens into observation group and control group, with 54 cases in each group. The control group received conventional nursing, and the observation group received comprehensive nursing intervention. Comparison were made on pulmonary function and psychological state between the two groups. Results After nursing, the observation group had lower heart rate （HR） and respiratory rate （RR） than the control group, and the difference was statistically significant （P〈0.05）. The observation group had higher per minute maximum voluntary ventilation （MVV）, forced expiratory volume in 1 second （FEV1）, forced expiratory volume in 1 second percentage of forced vital capacity （FEVI%） than the control group, and the difference was statistically significant （P〈0.05）. After nursing, the observation group had lower self-rate anxiety score （SAS） and self-rating depression score （SDS） respectively as （24.14 ± 2.32） and （28.47 ± 3.11） points than （35.62 ± 2.47） and （33.62 ±1.42） points in the control group, and their difference was statistically significant （t=24.8946, 11.0694, P〈0.05）. Conclusion Comprehensive nursing nursing shows remarkable effect in improving breathing, heart rate and pulmonary function for COPD patients with type Ⅱ respiratory failure undergoing non- invasive positive pressure ventilation.

关 键 词：慢性阻塞性肺疾病 呼吸衰竭 综合护理 心理状态 效果 

分 类 号：R473.5[医药卫生—护理学]