摘要
目的通过对急性低氧性呼吸衰竭(AHRF)患者应用经鼻高流量氧疗(HFNC)期间进行不同的温度设置,探讨其对患者的影响。方法采用便利抽样法,选取2019年1月—2020年5月入住浙江医院重症医学科行HFNC的90例AHRF患者为研究对象。采用随机数字表法将患者随机分成3组,即A组(T=31℃)、B组(T=34℃)和C组(T=37℃),每组30例。采用VAS、Borg量表比较3组患者的舒适度和呼吸困难程度,并比较3组患者的满意度。结果应用HFNC 2、12 h后,B组患者的VAS和Borg量表得分低于A组和C组,差异有统计学意义(P<0.01)。3组患者应用HFNC 12 h后的VAS得分高于应用HFNC 2 h后,Borg量表得分低于应用HFNC 2 h后,差异有统计学意义(P<0.05)。B组患者的满意度高于A组和C组,差异有统计学意义(P<0.01)。结论HFNC不同温度设置会影响AHRF患者的舒适度、呼吸困难程度和满意度,其中以34℃为较为合适的温度。随着时间的进展,护理人员应及时干预以维持患者的舒适度,降低其呼吸困难程度,为临床应用HFNC提供指导。
Objective To explore the effects of different temperature settings on patients with acute hypoxic respiratory failure(AHRF)during application of high-flow nasal cannula(HFNC).Methods A total of 90 patients with AHRF who were admitted to the Department of Critical Care Medicine of Zhejiang Hospital and underwent HFNC from January 2019 to May 2020 were selected as research objects by the convenient sampling method.The patients were randomly divided into 3 groups by the random number table method,namely,group A(T=31℃),group B(T=34℃)and group C(T=37℃),with 30 cases in each group.The VAS and Borg Scale were used to compare the comfort and dyspnea of patients of 3 groups,and to compare the satisfaction of patients of 3 groups.Results After applying HFNC for 2 h and 12 h,the scores of VAS and Borg Scale in group B were lower than those in groups A and C,and the differences were statistically significant(P<0.01).The VAS scores of the three groups after applying HFNC for 12 h were higher than that after applying HFNC for 2 h,and the scores of Borg Scale were lower than that after applying HFNC for 2 h,and the differences were statistically significant(P<0.05).The satisfaction of patients in group B was higher than that in group A and C,and the differences were statistically significant(P<0.01).Conclusions Different temperature settings of HFNC will affect the comfort,dyspnea and satisfaction of AHRF patients.Among them,34℃is a more suitable temperature.As time progresses,nursing staff should intervene in time to maintain the comfort of patients,reduce the degree of dyspnea and provide guidance for the clinical application of HFNC.
作者
任秋艳
姚惠萍
罗月月
任奇
叶蕾
Ren Qiuyan;Yao Huiping;Luo Yueyue;Ren Qi;Ye Lei(Department of Critical Care Medicine,Zhejiang Hospital,Hangzhou 310000,China;Department of Critical Care Medicine,Zhejiang Provincial People's Hospital,Hangzhou 310000,China;School of Nursing,Zhejiang Chinese Medicine University,Hangzhou 310000,China)
出处
《中华现代护理杂志》
2021年第26期3609-3612,共4页
Chinese Journal of Modern Nursing
