摘要
目的探讨多元化护理干预在无创呼吸机治疗慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭中的应用效果。方法将60例行无创呼吸机治疗的COPD合并Ⅱ型呼吸衰竭患者分为对照组和干预组,各30例。对照组采用常规护理措施,干预组给予心理护理、呼吸道护理、体位护理、营养支持、并发症护理等多元护理干预措施。观察2组治疗48 h后血pH值、动脉血氧分压(PaO_2)、二氧化碳分压(PaCO_2)指标变化及并发症发生情况。结果治疗48 h后,干预组血pH、PaO_2高于对照组,PaCO_2低于对照组,差异有统计学意义(P<0.01),且干预组并发症发生率13.33%(4/30),低于对照组的36.67%(11/30),差异有统计学意义(P<0.05)。结论多元化的护理干预对改善行无创呼吸机治疗COPD合并Ⅱ型呼吸衰竭患者通气功能、减少并发症发生具有积极意义。
Objective To investigate the application value of diversified nursing intervention in patients with chronic obstructive pulmonary disease （COPD） and type II respiratory failure trea-ted with non-invasive ventilation. Methods A total of 60 patients with COPD and type II respira-tory failure treated with non-invasive ventilation were assigned to the control group and interven-tion group, with 30 cases in each group. The control group received routine nursing care while the diversified nursing interventions on mental state, respiratory tract, position, nutrition support and complications were carried out in the intervention group. The blood pH, partial pressure of oxygen （Pa02） , partial pressure of carbon dioxide （PaC0 2） and incidence of complications were com-pared between two groups. Results Patients in the intervention group had a higher blood pH and Pa02, and lower level of PaC02 at 48 hours after treatment （P 〈0.01）. the incidence of compli-cations was 13.33% （4/30） in the intervention group and was 36. 6 7 % （11/30） in the control group, with a significant difference （P 〈 0. 05）. Conclusion diversified nursing intervention is potentially effective to improve the recovery in ventilation function and reduce the risk of compli-cations in patients with COPD and type II respiratory failure treated with non-invasive ventilation.
出处
《中西医结合护理（中英文）》
2017年第2期110-112,共3页
Journal of Clinical Nursing in Practice
关键词
护理干预
无创呼吸机
慢性阻塞性肺疾病
Ⅱ型呼吸衰竭
并发症
nursing intervention
chronic obstructive pulmonary disease
type II respiratory failure
complication
