医护一体化护理模式在无创呼吸机治疗COPD合并呼吸衰竭患者中的效果评价  

Effect evaluation of medical and nursing integration in non-invasive ventilator treatment of COPD patients with respiratory failure

作　　者：孙社梅 徐凤 周媛媛 吕敏 郭桂霞[1] SUN Shemei;XU Feng;ZHOU Yuanyuan;LV Min;GUO Guixia(Taizhou Hospital of Traditional Chinese Medicine,Taizhou,225300,China)

机构地区：[1]江苏省泰州市中医院肺病科,225300

出　　处：《护理实践与研究》2023年第12期1743-1747,共5页Nursing Practice and Research

基　　金：江苏省中医药管理局科技项目(编号:2019SY01258)。

摘　　要：目的探究医护一体化在无创呼吸机治疗慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)合并呼吸衰竭患者中的价值分析。方法选取2020年1月—2022年5月在泰州市中医院肺病科治疗的90例COPD患者为研究对象,按照组间基本特征均衡可比的原则分为对照组和观察组,各45例。对照组给予传统干预模式,观察组在此基础上实施医护一体化护理模式。观察两组患者入院1 d及实施干预1周后,肺功能、血气分析指标,采用慢性呼吸问卷评价患者的生活质量。结果入院1 d两组肺功能指标、血气分析指标、生活质量评分比较差异无统计学意义(P>0.05)。干预1周后,观察组肺功能指标、血气分析指标、生活质量评分高于对照组,组间比较差异具有统计学意义(P<0.05)。结论无创呼吸机治疗COPD合并呼吸衰竭患者实施医护一体化治疗可促进血气指标及肺功能的恢复,有效改善患者生活质量。Objective To explore the value analysis of medical and nursing integration in non-invasive ventilator treatment of chronic obstructive pulmonary diseases(COPD)patients with respiratory failure.Methods A total of 90 COPD patients who were treated in the pulmonary disease department of Taizhou Traditional Chinese Medicine Hospital from January 2020 to May 2022 were selected as the research subjects.They were divided into a control group and an observation group based on the principle of balanced and comparable basic characteristics between the groups,with 45 cases in each group.The control group received traditional intervention mode,while the observation group implemented an integrated medical and nursing care mode on this basis to observe the lung function and blood gas analysis indicators of two groups of patients after 1 day of hospitalization and 1 week of intervention,and evaluate the quality of life of patients using a chronic respiratory questionnaire.Results There was no statistically significant difference in lung function indicators,blood gas analysis indicators,and quality of life scores between the two groups after 1 day of admission(P>0.05).After 1 week of intervention,the lung function indicator,blood gas analysis indicator,and quality of life score in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The implementation of integrated medical and nursing treatment for COPD patients with respiratory failure treated with non-invasive ventilation can promote the recovery of blood gas indicators and lung function,and effectively improve the quality of life of patients.

关 键 词：医护一体化 无创呼吸机 慢性阻塞性肺疾病 呼吸衰竭 肺功能 生活质量 

分 类 号：R473.56[医药卫生—护理学]