摘要
目的探讨综合护理干预对无创正压通气治疗慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者的效果。方法选取2016年5月至2018年5月呼吸内科收治的COPD合并呼吸衰竭患者160例,按照随机数字表法分为研究组和对照组,每组80例。对照组给予常规护理,研究组给予综合护理干预。比较2组护理干预前后的pH值、动脉血氧分压(PaO 2)、动脉血二氧化碳分压(PaCO 2)和血氧饱合度(SaO 2);比较2组护理干预前后SF-36量表8个维度的评分;比较2组的治疗依从性和护理满意度。结果干预后,研究组的pH值、PaO 2和SaO 2较对照组升高,PaCO 2较对照组降低,差异均有统计学意义(P<0.05)。干预后,研究组SF-36量表8个维度评分均较对照组升高,差异有统计学意义(P<0.05)。研究组的治疗依从性和护理满意度较对照组高,差异有统计学意义(P<0.05)。结论综合护理干预对行无创正压通气治疗的COPD合并呼吸衰竭患者,能够进一步增强其治疗效果、提高生活质量,值得临床推广。
Objective To explore the effects of comprehensive nursing intervention on noninvasive positive pressure ventilation in patients with chronic obstructive pulmonary disease(COPD)complicated with respiratory failure.Methods A total of 160 patients with COPD complicated by respiratory failure who were admitted and treated in our hospital from May 2016 to May 2018 were enrolled in the study,who were divided into experimental group(n=80)and control group(n=80)according to the random number table method.The patients in control group were treated by routine nursing,however,the patients in experimental group were treated by comprehensive nursing intervention.The levels of pH,PaO 2,PaCO 2 and SaO 2 before and after nursing intervention were observed and compared between the two groups.Moreover the scores of 8 dimensions of SF-36 scale before and after nursing intervention were compared between the two groups,and the treatment compliance and nursing satisfaction degree were also observed and compared between the two groups.Results After Intervention,the levels of pH,PaO 2 and SaO 2 in experimental group were significantly increased,as compared with those in control group,however,the levels of PaCO 2 were significantly decreased,as compared with those in control group(P<0.05).After intervention,the scores of of 8 dimensions of SF-36 scale in experimental group were significantly higher than those control group(P<0.05),and the treatment compliance and nursing satisfaction degree in experimental group were significantly higher than those control group(P<0.05).Conclusion The comprehensive nursing intervention can improve the therapeutic effects and life quality of patients with COPD complicated by respiratory failure who receive noninvasive positive pressure ventilation,therefor,which is worthy of popularization in clinical practice.
作者
邓丽英
胡结养
邹小芳
DENG Liying;HU Jieyang;ZOU Xiaofang(The Third Hospital Affiliated to Guangzhou Medical University,Huangdong,Guangzhou 510150,China)
出处
《河北医药》
CAS
2019年第17期2717-2720,共4页
Hebei Medical Journal
关键词
综合护理
无创正压通气
慢性阻塞性肺疾病
呼吸衰竭
comprehensive nursing intervention
noninvasive positive pressure ventilation
chronic obstructive pulmonary disease
respiratory failure
