慢性阻塞性肺疾病合并呼吸衰竭的重症多学科护理观察  

Multidisciplinary Nursing Observation of Chronic Obstructive Pulmonary Disease Complicated with Respiratory Failure

作　　者：亓雪梅 Qi Xuemei(Department of Critical Care Medicine,Dongying Fifth People's Hospital,Dongying 257500,Shandong Province,China)

机构地区：[1]东营市第五人民医院重症医学科,山东东营257500

出　　处：《中外医药研究》2025年第3期120-122,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：山东省科技成果(编号:东科评字【2024】第073号)。

摘　　要：目的:评价慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者应用重症多学科护理的效果。方法:选取2022年5月—2024年1月东营市第五人民医院收治的COPD合并呼吸衰竭患者100例,以随机数字表法分为对照组(接受常规护理)和观察组(接受多学科护理),各50例。对比两组生活质量、肺功能、运动耐力和护理满意度。结果:护理后,两组呼吸、活动受限和疾病影响评分降低,观察组低于对照组(P<0.05);护理后,两组用力肺活量、第1秒用力呼气容积升高,6 min步行距离延长,Borg劳累评估表评分降低,观察组优于对照组(P<0.05);观察组满意度高于对照组(P=0.027)。结论:临床重症学科中针对COPD合并呼吸衰竭患者实施多学科护理模式的应用价值显著,有利于改善患者的肺功能、运动能力,提高生活质量,患者满意度较高。Objective:To evaluate the effect of intensive multidisciplinary nursing in patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods:100 patients with COPD combined with respiratory failure admitted to Dongying Fifth People's Hospital from May 2022 to January 2024 were selected and divided into control group(receiving routine nursing)and observation group(receiving multidisciplinary nursing)by random number table method,with 50 cases in each group.Quality of life,lung function,exercise endurance and nursing satisfaction were compared between the two groups.Results:After nursing,the scores of respiratory,activity restriction and disease impact were decreased in both groups,and the observation group was lower than the control group(P<0.05).After nursing,the forced vital capacity and forced expiratory volume in the first second were increased,the walking distance in 6 minutes was extended,and the Borg fatigue assessment score was decreased in both groups,and the observation group was better than the control group(P<0.05).The satisfaction of observation group was higher than that of control group(P=0.027).Conclusion:The application value of multi-disciplinary nursing model for COPD patients with respiratory failure in clinical intensive care department is significant,which is conducive to improving the lung function and exercise ability of patients,improving the quality of life of patients,and the satisfaction of patients is high.

关 键 词：慢性阻塞性肺疾病 呼吸衰竭 重症 多学科护理 肺功能 

分 类 号：R473.5[医药卫生—护理学]