人性化护理在慢性阻塞性肺疾病急性加重期患者无创呼吸机护理中的应用效果  

Exploration of the Effect of Humanized Nursing in Non-Invasive Ventilator Care for Acute Exacerbation of Chronic Obstructive Pulmonary Disease

作　　者：石程 SHI Cheng(Department of Respiratory and Critical Care Medicine,Fuzhou Changle District People's Hospital,Fuzhou 350200,China)

机构地区：[1]福州市长乐区人民医院呼吸与危重症医学科,福州350200

出　　处：《中国医药指南》2024年第33期162-165,共4页Guide of China Medicine

摘　　要：目的探讨慢性阻塞性肺疾病急性加重期无创呼吸机护理中的人性化护理措施及护理效果。方法选取2021年6月至2023年9月于我院接受无创呼吸机治疗的94例慢性阻塞性肺疾病急性加重期患者作为研究对象,分为观察组(人性化护理)和对照组(常规护理)各47例,对比护理满意度、治疗依从性、各项肺功能指标、各项血气指标、病情恢复时间、汉密尔顿抑郁量表(HAMD)评分、匹兹堡睡眠质量指数量表(PSQI)评分。结果观察组的护理满意度、治疗依从性以及护理后的第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、动脉血氧饱和度(SaO_(2))、动脉血氧分压(PaO_(2))高于对照组(P<0.05),护理后的动脉血二氧化碳分压(PaCO_(2))、HAMD评分、PSQI评分低于对照组(P<0.05),病情恢复时间短于对照组(P<0.05)。结论人性化护理的开展,对于提高慢性阻塞性肺疾病急性加重期的无创呼吸机护理质量有着积极的影响。Objective To explore the humanized nursing measures and nursing effects in non-invasive ventilation nursing for acute exacerbation of chronic obstructive pulmonary disease.Methods Ninety-four patients with acute exacerbation of COPD who received non-invasive ventilator treatment in our hospital from June 2021 to September 2023 were selected as the study objects,and were divided into observation group(humanized nursing)and control group(routine nursing)with 47 cases each.Nursing satisfaction,treatment compliance,pulmonary function index,blood gas index,recovery time,Hamilton Depression Scale(HAMD)score,Pittsburgh Sleep Quality Index scale(PSQI)score were compared.Results The nursing satisfaction,treatment compliance,and forced expiratory volume in one second(FEV1),forced vital capacity(FVC),arterial oxygen saturation(SaO_(2)),and arterial oxygen partial pressure(PaO_(2))of the observation group were higher than those of the control group(P<0.05).The arterial carbon dioxide partial pressure(PaCO_(2)),HAMD score,and PSQI score after nursing of the observation group were lower than those of the control group(P<0.05),and the recovery time of the disease was shorter than that of the control group(P<0.05).Conclusions The implementation of humanized nursing has a positive impact on improving the quality of non-invasive ventilator care for acute exacerbation of chronic obstructive pulmonary disease.

关 键 词：慢性阻塞性肺疾病 急性加重期 无创呼吸机护理 人性化护理 

分 类 号：R563.9[医药卫生—呼吸系统] R473.5[医药卫生—内科学]