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探讨改良集束化护理对慢性阻塞性肺疾病合并呼吸衰竭患者护理效果 被引量:8

Exploring the Effect of Improved Clustering Nursing on Patients with Chronic Obstructive Pulmonary Disease Complicated with Respiratory Failure
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摘要 目的分析对慢性阻塞性肺疾病合并呼吸衰竭患者实施改良集束化护理的效果。方法选取该院2017年1月—2019年5月收治的60例慢性阻塞性肺疾病合并呼吸衰竭患者为研究对象,随机分为两组,对照组行常规护理干预,观察组则采用改良集束化护理模式进行干预,对比两组护理舒适度情况以及干预前后血气指标变化情况。结果观察组护理舒适度评分为(13.28±1.18)分,高于对照组的(8.52±0.28)分,差异有统计学意义(t=21.497,P<0.05);观察组干预后PaCO2为(60.02±3.08)mmHg,低于对照组的(68.12±3.25)mmHg,PaO2为(75.63±6.68)mmHg,高于对照组的(63.25±6.15)mmHg,差异有统计学意义(t=8.526、8.552,P<0.05)。结论对慢性阻塞性肺疾病合并呼吸衰竭患者实施改良集束化护理利于提高护理舒适度,改善患者血气状况。 Objective To analyze the effect of improved bundled nursing for patients with chronic obstructive pulmonary disease and respiratory failure. Methods Sixty patients with chronic obstructive pulmonary disease and respiratory failure admitted to our hospital from January 2017 to May 2019 were randomLy divided into two groups. The control group received routine nursing intervention and the observation group used improved clustering nursing model for intervention, to compare the comfort level of the two groups and the changes of blood gas indexes before and after the intervention. Results The nursing comfort score of the observation group was(13.28±1.18)points, which was higher than that of the control group(8.52±0.28)points. The difference was statistically significant(t=21.497, P<0.05). The observation group had PaCO2 after intervention(60.02±3.08)mmHg, lower than the control group(68.12±3.25) mmHg, PaO2 was(75.63±6.68) mmHg, higher than the control group(63.25±6.15)mmHg, the difference was statistically significant(t=8.526, 8.552, P <0.05). Conclusion Improved clustering care for patients with chronic obstructive pulmonary disease and respiratory failure is beneficial to improve the comfort of care and improve the blood gas status of patients.
作者 纪翠平 JI Cui-ping(Department of Respiratory,Jinhu County Chinese Medicine Hospital,Jinhu,Jiangsu Province,211600 China)
出处 《系统医学》 2019年第22期163-165,共3页 Systems Medicine
关键词 慢性阻塞性肺疾病 呼吸衰竭 常规护理 改良集束化护理 护理效果 Chronic obstructive pulmonary disease Respiratory failure Routine nursing Improved clustering nursing Nursing effect
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