综合护理在经鼻持续正气压通气治疗阻塞性呼吸暂停综合征中的应用效果  

Application effect of comprehensive nursing in the treatment of obstructive apnea syndrome by continuous positive airway ventilation

作　　者：刘银兰 钟彩霞 LIU Yin-lan;ZHONG Cai-xia(Department of Respiratory Medicine,Guangzhou First People′s Hospital,Guangdong Province,Guangzhou 510000,China)

机构地区：[1]广州市第一人民医院呼吸内科

出　　处：《中国当代医药》2019年第20期227-229,共3页China Modern Medicine

摘　　要：目的探讨阻塞性呼吸暂停综合征(OSAS)患者经鼻持续正气压通气治疗的相关护理体会。方法选取2016年10月~2018年10月我院收治的80例OSAS患者作为研究对象,均采取经鼻持续正气压通气治疗,按照随机数字表法分为对照组和研究组,每组各40例。对照组采用常规护理方法,研究组采用综合性护理方法。比较两组的焦虑与抑郁评分、Calgary生活质量指数、嗜睡评分、不良反应总发生率。结果研究组护理后的焦虑与抑郁评分、嗜睡评分及Calgary生活质量指数中日常活动评分、消极影响评分均低于对照组,研究组的情绪评分、症状评分均高于对照组,差异有统计学意义(P<0.05)。研究组的不良反应总发生率为5%,低于对照组的30%,差异有统计学意义(P<0.05)。结论为经鼻持续正气压通气治疗OSAS患者采取综合性护理不仅可显著改善其嗜睡状况、生活质量,使其不再被焦虑抑郁等负面情绪困扰,还能预防不良反应发生。Objective To explore the nursing experience of patients with obstructive apnea syndrome (OSAS) treated by nasal continuous positive pressure ventilation.Methods A total of 80 patients with OSAS admitted to our hospital from October 2016 to October 2018 were enrolled in the study.All patients underwent nasal continuous positive airway pressure and were divided into the control group and the study group according to random number table method,40 cases in each group.The control group used routine nursing methods,and the study group used comprehensive nursing methods.The anxiety score and depression score,Calgary quality of life index,sleepiness score,and total incidence rate of adverse reactions were compared between the two groups.Results The study group′s post-nursing anxiety scores and depression scores,sleepiness scores,and daily activity scores and negative impact scores in the Calgary quality of life index were lower than those in the control group,the emotional scores and symptom scores of the study group were higher than those of the control group,the differences were statistically significant (P<0.05).The total incidenec rate of adverse reactions in the study group was 5%,which was lower than those in the control group 30%,and the difference was statistically significant (P<0.05).Conclusion Comprehensive nursing for patients with OSAS treated by nasal continuous positive barometric ventilation can not only significantly improve their sleepiness and quality of life,but also prevent adverse reactions such as anxiety and depression.

关 键 词：经鼻持续正气压通气 阻塞性呼吸暂停综合征 护理 

分 类 号：R473.5[医药卫生—护理学]