摘要
目的 探讨制度化监护护理对高龄重症呼吸衰竭(RF)患者通气功能的影响,以期为临床治疗与护理提供参考。方法选取商丘市第一人民医院2019年5月—2022年1月收治的90例高龄重症RF患者为研究对象。采用随机数字表法将患者分为研究组与对照组,每组45例。对照组患者予以常规护理,研究组患者予以制度化监护护理。比较2组患者干预前及干预14 d时抑郁自评量表(SDS)、焦虑自评量表(SAS)评分及第1秒用力呼气容积/用力肺活量(FEV1/FVC)、呼气峰值流速(PEF)水平。比较2组患者憋喘消失时间、机械通气时间、气促缓解时间、重症病房入住时间。结果 干预前,2组患者SDS及SAS评分比较,差异无统计学意义(P>0.05)。干预后,2组患者SDS及SAS评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组患者憋喘消失、机械通气、气促缓解、重症病房入住时间均短于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者PEF及FEV1/FVC水平比较,差异无统计学意义(P>0.05)。干预后,2组患者PEF及FEV1/FVC水平均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。结论 制度化监护护理应用于高龄重症RF患者护理中的效果显著,有助于改善患者心理状态,促进患者通气功能的恢复,同时缩短患者憋喘消失、机械通气、气促缓解、重症病房入住时间,临床效果显著,值得推广应用。
Objective To investigate the effect of institutionalized monitored nursing on ventilation function in elderly patients with severe respiratory failure(RF),so as to provide evidence for clinical treatment and nursing.Methods Ninety elderly patients with severe RF admitted to the First People’s Hospital of Shangqiu from May 2019 to January 2022 were selected as the study subjects.The patients were assigned to the experimental group and control group by random number table,with 45 cases in each group.Patients in the control group received conventional nursing,and patients in the experimental group received institutionalized monitored nursing.The self-rating depression scale(SDS),self-rating anxiety scale(SAS)scores,forced expiratory volume in 1 second/forced vital capacity(FEV1/FVC),and peak expiratory flow(PEF)levels were compared between the two groups before and at 14 days of intervention.The time to disappearance of asthma,duration of mechanical ventilation,time to relief of shortness of breath,and time to admission to the intensive care unit were compared between the two groups.Results Before the intervention,there was no significant difference in SDS and SAS scores between the two groups(P>0.05).After the intervention,SDS and SAS scores in the two groups were lower than those before the intervention,and the experimental group was lower than the control group,with statistical significance(P<0.05).The disappearance of asthma,mechanical ventilation,relief of shortness of breath,and length of stay in the intensive care unit in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Before the intervention,there was no significant difference in PEF and FEV1/FVC levels between the two groups(P>0.05).After the intervention,PEF and FEV1/FVC levels in the two groups were higher than those before the intervention,and the experimental group was higher than the control group,with statistical significance(P<0.05).Conclusion Institutionalized monitored
作者
刘雪蕾
刘红园
Liu Xuelei;Liu Hongyuan(Emergency Department,the First People's Hospital of Shangqiu,Shangqiu Henan 476100,China)
出处
《保健医学研究与实践》
2022年第8期100-103,共4页
Health Medicine Research and Practice
关键词
重症呼吸衰竭
制度化监护护理
无创机械通气
Severe respiratory failure
Institutionalized monitored nursing
Noninvasive mechanical ventilation
