专职化干预模式在慢性阻塞性肺疾病合并呼吸衰竭患者中的应用  

Application of Specialized Intervention Mode in Patients with Chronic Obstructive Pulmonary Disease Complicated with Respiratory Failure

作　　者：苏婉莉[1] 梁梅恨[1] 梁亚连 SU Wanli;LIANG Meihen;LIANG Yalian(Kaiping Central Hospital,Kaiping 529300,China;不详)

机构地区：[1]开平市中心医院,广东开平529300

出　　处：《中外医学研究》2021年第21期97-99,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者应用专职化护理干预模式的效果。方法:回顾性分析本院2018年1月-2019年1月行常规护理的COPD合并呼吸衰竭患者临床资料纳入对照组(40例),将本院2019年2月-2020年2月行专职化护理的COPD合并呼吸衰竭患者临床资料纳入观察组(40例)。比较两组护理前、护理1个月后的血气指标[动脉氧分压(PaO_(2))、动脉二氧化碳分压(PaCO_(2))]及肺功能指标[用力肺活量(FVC)、第1秒用力呼气末容积(FEV_(1))]。结果:护理1个月后,两组PaO_(2)水平高于护理前,观察组高于对照组,两组PaCO_(2)水平低于护理前,且观察组低于对照组;护理1个月后,两组FVC、FEV_(1)水平均高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论:COPD合并呼吸衰竭患者应用专职化干预模式的效果较好,可改善患者血气指标,促进肺功能恢复。Objective:To explore the effect of specialized nursing intervention mode on patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Method:The clinical data of COPD patients with respiratory failure who received routine nursing care in our hospital from January 2018 to January 2019 were included in the control group(40 cases),and the clinical data of COPD patients with respiratory failure who received specialized nursing from February 2019 to February 2020 were included in the observation group(40 cases).The blood gas indexes[artery partial pressure of oxygen(PaO_(2)),artery partial pressure of carbon dioxide(PaCO_(2)]and pulmonary function indexes[forced vital capacity(FVC),forced end-expiratory volume in one second(FEV_(1))]were compared between the two groups before and after 1 month of nursing.Result:After 1 month of nursing,PaO_(2) level of the two groups was higher than that before nursing,that of the observation group was higher than that of the control group,the PaCO_(2) level in both groups was lower than that before nursing,and that of the observation group was lower than the control group;after 1 month of nursing,the levels of FVC and FEV_(1) of the two groups were higher than those before nursing,and the levels of FVC and FEV_(1) of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The effect of specialized intervention mode in COPD patients with respiratory failure is better,which can improve the blood gas indexes and promote the recovery of lung function.

关 键 词：慢性阻塞性肺疾病 呼吸衰竭 专职化干预模式 血气分析 肺功能 

分 类 号：R473.5[医药卫生—护理学]