个体化护理对无创呼吸机治疗慢性阻塞性肺炎合并重症呼吸衰竭患者的临床效果  

Clinical Observation of Individualized Nursing on Patients with Chronic Obstructive Pneumonia Complicated with Severe Respiratory Failure Treated by Noninvasive Ventilator

作　　者：范怡 FAN Yi(Department of Outpatient and Emergency,Lishan Hospital of Shandong Public Health Clinical Center,Ji'nan 250013,China)

机构地区：[1]山东省公共卫生临床中心历山院区,山东济南250013

出　　处：《中国医药指南》2022年第23期17-20,共4页Guide of China Medicine

摘　　要：目的探讨个体化护理对无创呼吸机治疗慢性阻塞性肺炎(COPD)合并重症呼吸衰竭患者的临床效果。方法选择山东省公共卫生临床中心历山医院应用无创呼吸机治疗的74例COPD合并严重呼吸衰竭患者。选择时间为2020年1月至2021年12月。根据入院时间分为两组。将2020年1~12月收治的37例患者纳入对照组,将2021年1~12月的37例患者纳入观察组。对照组在治疗期间实施常规护理措施,观察组实施常规护理配合个体化护理措施。对比两组护理前后的血气指标、肺通气功能指标、对护理工作的依从性、呼吸机使用过程中的并发症发生率、插管率、住院时间以及对护理服务的满意度的差异。结果两组护理前肺功能及血气指标差异无统计学意义(P>0.05);护理后观察组肺功能、血气指标较护理前明显改善,优于对照组(P<0.05)。与对照组护理依从性优良率相比较,观察组的优良率更高(P<0.05)。观察组呼吸机使用期间并发症发生率较对照组低,差异有显著性(P<0.05)。两组气管插管率差异无统计学意义(P>0.05);但与对照组相比,观察组住院时间更短,满意度更高(P<0.05)。结论个体化护理对无创呼吸机治疗COPD合并严重呼吸衰竭患者的干预效果具有有效性、安全性。该护理方法能有效提高患者呼吸机的耐受性,改善肺通气,明显减少呼吸机相关并发症的发生风险。Objective To explore the clinical effect of individualized nursing on patients with chronic obstructive pneumonia complicated with severe respiratory failure treated by noninvasive ventilator.Methods Seventy-four patients with chronic obstructive pneumonia complicated with severe respiratory failure treated by noninvasive ventilator in Lishan Hospital of Shandong public health clinical center were selected.The selection time is from January 2020 to December 2021.They were divided into two groups according to the time of admission.Thirtyseven patients from January 2020 to December 2020 were included in the control group,and 37 patients from January 2021 to December 2021 were included in the observation group.The control group implemented routine nursing measures during the treatment,the observation group implemented individualized nursing intervention on the basis of the control group.The differences in blood gas indexes,pulmonary ventilation function indexes,compliance with nursing work,complication rate during ventilator use,intubation rate,hospital stay,and satisfaction with nursing services were compared between the two groups before and after nursing.Results The indexes of lung function and blood gas analysis before nursing were the same in the two groups(P>0.05);after nursing,the indexes of pulmonary function and blood gas analysis in the observation group were significantly improved compared with those before nursing,which was better than that in the control group(P<0.05).The excellent rate of nursing compliance in the observation group was significantly higher than that in the control group(P<0.05).The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).There was no significant difference in the rate of endotracheal intubation between the two groups(P>0.05).However,compared with the control group,the observation group had shorter hospital stay and higher satisfaction(P<0.05).Conclusion In the noninvasive ventilator treatment of patients with ch

关 键 词：慢性阻塞性肺炎 重症呼吸衰竭 个体化护理 无创呼吸机 

分 类 号：R473.5[医药卫生—护理学] R593.9[医药卫生—临床医学]