评判性护理联合预警护理在慢性阻塞性肺疾病合并呼吸衰竭患者中的应用效果  

Effect of critical nursing combined with early warning nursing in patients with chronic obstructive pulmonary disease complicated with respiratory failure

作　　者：刘晓红[1] 李青茵 徐若琛 Liu Xiaohong;Li Qingyin;Xu Ruochen(Pulmonary Function Test Room,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Medical Insurance Office,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;School of Basic Medicine,Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院肺功能室,郑州450000 [2]郑州大学第一附属医院医保办,郑州450000 [3]郑州大学基础医学院,郑州450000

出　　处：《中华现代护理杂志》2022年第31期4404-4408,共5页Chinese Journal of Modern Nursing

摘　　要：目的探究评判性护理联合预警护理在慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者中的应用效果。方法采用便利抽样法,选取2019年10月—2021年10月郑州大学第一附属医院收治的接受无创呼吸机治疗的92例COPD合并呼吸衰竭患者为研究对象,按照随机数字表法分为观察组与对照组,各46例。对照组患者治疗期间行常规护理干预,观察组患者行评判性护理联合预警护理。干预前后采用生活质量综合评定问卷(GQOLI-74)、心理弹性量表(CD-RISC)评价患者的生活质量、心理弹性,并对患者并发症发生情况进行比较。结果干预前,两组患者GQOLI-74、CD-RISC评分比较差异均无统计学意义(P>0.05);干预后,观察组患者GQOLI-74各项评分、CD-RISC总分及各维度评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗期间的并发症总发生率(8.70%)低于对照组(26.09%),差异有统计学意义(P<0.05)。结论评判性护理联合预警护理可提高COPD合并呼吸衰竭患者生活质量和心理弹性,并降低患者治疗期间并发症发生率。Objective To explore the effect of critical nursing combined with early warning nursing in patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods From October 2019 to October 2021,92 COPD patients with respiratory failure who received non-invasive ventilator treatment in the First Affiliated Hospital of Zhengzhou University were selected as the research object by convenience sampling.According to the method of random number table,the patients were divided into the observation group and the control group,46 cases in each.The patients in the control group received routine nursing during treatment,while the patients in the observation group received critical nursing combined with early warning nursing.Before and after intervention,the quality of life and resilience of patients were evaluated with the Generic Quality of Life Inventory-74(GQOLI-74)and the Connor-Davidson Resilience Scale(CD-RISC),and the complications of patients were compared.Results Before intervention,there were no statistical differences in GQOLI-74 score and CD-RISC score between the two groups(P>0.05).After intervention,the GQOLI-74 scores,the total score and dimension scores of CD-RISC in the observation group were statistically higher than those in the control group(P<0.05).The total incidence of complications in the observation group(8.70%)was lower than that in the control group(26.09%),with a statistically significant difference(P<0.05).Conclusions Critical nursing combined with early warning nursing can improve the quality of life and psychological resilience of COPD patients complicated with respiratory failure,and reduce the incidence of complications during treatment.

关 键 词：肺疾病 慢性阻塞性 呼吸衰竭 评判性护理 预警护理 

分 类 号：R473.5[医药卫生—护理学]