体位护理对呼吸衰竭患者的影响  

Effect of Postural Nursing on Patients with Respiratory Failure

作　　者：苏婉莉[1] 邝美琴 梁雪琼 SU Wanli;KUANG Meiqin;LIANG Xueqiong(Department of Respiratory Medicine,Kaiping Central Hospital,Jiangmen,Guangdong Province,529300 China)

机构地区：[1]开平市中心医院呼吸科,广东江门529300

出　　处：《中外医疗》2022年第3期168-172,共5页China & Foreign Medical Treatment

基　　金：江门市卫生计生局科学技术研究项目(20A165)。

摘　　要：目的探究体位护理对呼吸衰竭患者的影响。方法便利选取该院2019年10月—2020年12月收治的80例呼吸衰竭患者作为研究对象,用随机数表法将其分为两组,每组40例。对照组行常规持续性仰卧位通气护理,观察组行体位变换护理,对比两组患者的并发症缓解率、护理满意度、依从性、生活质量和负性情绪改善情况。结果观察组的并发症缓解率为100.00%,显著高于对照组42.86%,差异有统计学意义(χ^(2)=4.417,P<0.05);观察组患者满意度为95.0%,显著高于对照组80.0%,差异有统计学意义(P<0.05);观察组的康复锻炼依从性、治疗依从性、自主排痰依从性均显著高于对照组,差异有统计学意义(P<0.05);观察组的生活质量评分和对照组相比相对较高,差异有统计学意义(P<0.05);护理后,观察组患者的焦虑情绪评分和抑郁情绪评分与对照组相比均相对较低,差异有统计学意义(P<0.05)。结论体位护理有利于减轻呼吸衰竭患者的并发症严重程度,可提高患者的满意度和依从性,进而提升其生活质量,可推广应用。Objective To explore the impact of postural care on patients with respiratory failure.Methods Conveniently selected 80 patients with respiratory failure admitted to the hospital from October 2019 to December 2020 as the study subject,and divided them into two groups used a random number table method,with 40 cases in each group.The control group underwent routine continuous supine ventilation nursing,and the observation group underwent posture change nursing.The complication relief rate,nursing satisfaction,compliance,quality of life and improvement of negative emotions were compared between the two groups of patients.Results The remission rate of complications in the observation group was 100.00%,which was significantly higher than 42.86% in the control group,the difference was statistically significant(χ^(2)=4.417,P<0.05).The patient satisfaction in the observation group was 95.0%,significantly higher than the control group's 80.0%,the difference was statistically significant(P<0.05).The observation group's compliance with rehabilitation exercise,treatment compliance,and voluntary sputum discharge compliance were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).The quality of life score of the observation group was relatively higher than that of the control group,the difference was statistically significant(P<0.05).After nursing,the anxiety scores and depression scores of the observation group were relatively lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Posture care is beneficial to reduce the severity of complications in patients with respiratory failure.It can improve patients'satisfaction and compliance,thereby improving their quality of life,and can be promoted and applied.

关 键 词：体位护理 呼吸衰竭 生活质量 

分 类 号：R4[医药卫生—临床医学]