基于个体差异化评价的护理干预在呼吸衰竭机械通气患者中的应用效果  

Application effect of individual differentiation valuation nursing intervention in respiratory failure patients with mechanical ventilation

作　　者：郭佳馨 缪羽[1] 庄华敏[1] GUO Jia-xin;MIAO Yu;ZHUANG Hua-min

机构地区：[1]中国人民解放军第180医院护理部,泉州市362000

出　　处：《护理实践与研究》2018年第22期21-23,共3页Nursing Practice and Research

摘　　要：目的探讨基于个体差异化评价的护理干预在呼吸衰竭机械通气患者中的应用效果。方法选取2015年4月至2017年6月我院收治的呼吸衰竭且行机械通气治疗患者142例,借助随机字母表法等分为对照组和观察组,对照组患者给予常规护理干预,观察组患者给予基于个体差异化评价的护理干预,对比两组患者肺功能、并发症发生情况、机械通气时间、住院时间、依从性及护理满意度。结果观察组患者用力肺活量、潮气量、第1 s用力呼吸容积均显著大于对照组,气道峰压小于对照组,差异有统计学意义(P <0. 05);观察组患者并发症发生率明显低于对照组,依从性显著高于对照组,且机械通气时间与住院时间短于对照组,差异有统计学意义(P <0. 05);观察组患者在护理操作技能、服务态度、护理舒适度3方面满意度评分均显著高于对照组,差异有统计学意义(P <0. 05)。结论基于个体差异化评价的护理干预可提高呼吸衰竭机械通气患者肺功能,缩短机械通气时间与住院时间,并能够降低并发症发生率,促进依从性及护理满意度提升。Objective To explore the application effect of individual differentiation valuation nursing intervention in respiratory failure patients with mechanical ventilation. Methods To select 142 cases of respiratory failure patients admitted with mechanical ventilation in our hospital from April 2015 to June 2017.They were randomly divided into the control group and the observation group through random alphabet method. The routine nursing was adopted to patients in the control group, and individual differentiation valuation nursing intervention was adopted for patients in the observation group. We compared the lung function, complications, duration of ventilator support, length of stay ,compliance and nursing satisfaction of the both group patients. Results The vital capacity, tidal volume,forced expiratory volume in one second of patients in observation group were all significantly greater than those of the control group. Meanwhile the peak inspiratory pressure was less than that of the control group,and the difference was statistically significant（ P 〈0.05）.The incidence of complications in the study group was significantly lower than that in the control group.The compliance in the study group was significantly higher than that in the control group.The time of mechanical ventilation and length of stay were shorter than that of the control group,and the difference was statistically significant（ P 〈0.05）. The scores of nursing operating skills, service attitude, comfort degree of nursing of patients in observation group were all significantly taller than those of the control group,and the difference was statistically significant（ P 〈0.05）. Conclusion The lung function was improved obviously in respiratory failure patients with mechanical ventilation through using individual differentiation valuation nursing intervention. In the meantime The duration of ventilator support and length of stay were shorten substantially. Beyond that, the occurrence rate of complications were somewhat reduced .The compli

关 键 词：个体差异化评价 呼吸衰竭 机械通气 肺功能 护理满意度 

分 类 号：R473.5[医药卫生—护理学]