[1]刘婷婷.强化优质护理在无创正压通气治疗COPD合并呼吸衰竭患者中的应用[J].医学信息,2021,34(01):179-181.[doi:10.3969/j.issn.1006-1959.2021.01.050]
　LIU Ting-ting.Application of Intensive High-quality Nursing Care in Patients with COPD Complicated with Respiratory Failure Treated by Non-invasive Positive Pressure Ventilation[J].Medical Information,2021,34(01):179-181.[doi:10.3969/j.issn.1006-1959.2021.01.050]
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强化优质护理在无创正压通气治疗COPD合并呼吸衰竭患者中的应用()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年01期
页码:
179-181
栏目:
护理研究
出版日期:
2021-01-01

文章信息/Info

Title:
Application of Intensive High-quality Nursing Care in Patients with COPD Complicated with Respiratory Failure Treated by Non-invasive Positive Pressure Ventilation
文章编号:
1006-1959（2021）01-0179-03
作者:
刘婷婷
（天津市静海区医院呼吸与危重症医学科二病区，天津 301600）
Author(s):
LIU Ting-ting
(Ward Two,Department of Respiratory and Critical Care Medicine,Jinghai District Hospital,Tianjin 301600,China)
关键词:
强化优质护理; 无创正压通气; COPD; 心理状态; 依从性
Keywords:
Intensive high-quality nursing; Non-invasive positive pressure ventilation; COPD;  Mental state; Compliance
分类号:
R473.5
DOI:
10.3969/j.issn.1006-1959.2021.01.050
文献标志码:
A
摘要:
目的 研究强化优质护理应用于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护理效果。方法 选取2017年10月~2019年10月我院行无创正压通气治疗COPD合并呼吸衰竭98例患者为研究对象，采用随机数字表法分为对照组和干预组，各49例。对照组采用常规护理，干预组采用强化优质护理，比较两组机械通气时间、心率、呼吸频率、心理状态（焦虑、抑郁评分）、治疗依从性、并发症（呼吸机相关肺炎）和不良反应（压疮、胃肠胀气、呛咳）发生率以及护理满意度。结果 干预组机械通气时间短于对照组，护理后心率、呼吸频率均低于对照组（P＜0.05）；护理后，干预组焦虑、抑郁评分均低于对照组，治疗依从性评分高于对照组（P＜0.05）；干预组并发症和不良反应发生率低于对照组（P＜0.05）；观察组护理满意度为97.95%，高于对照组的85.71%（P＜0.05）。结论 强化优质护理可改善无创正压通气治疗COPD合并呼吸衰竭患者心率和呼吸频率，提高治疗依从性，缩短机械通气时间，预防并发症和不良反应发生，提高护理满意度。
Abstract:
Objective To study the nursing effect of intensive high-quality nursing applied to noninvasive positive pressure ventilation in the treatment of chronic obstructive pulmonary disease (COPD) patients with respiratory failure.Methods From October 2017 to October 2019, 98 patients with COPD combined with respiratory failure underwent non-invasive positive pressure ventilation in our hospital were selected as the research objects. They were divided into control group and intervention group by random number table, with 49 cases in each group. The control group received conventional nursing care, and the intervention group used intensive high-quality nursing care. The two groups were compared with mechanical ventilation time, heart rate, respiratory rate, mental state (anxiety, depression score), treatment compliance, complications (ventilator-related pneumonia), and adverse reactions (the incidence of pressure ulcers, flatulence, coughing) and nursing satisfaction.Results The mechanical ventilation time of the intervention group was shorter than that of the control group, and the heart rate and breathing rate after nursing were lower than those of the control group(P＜0.05);After nursing, the anxiety and depression scores of the intervention group were lower than those of the control group, and the treatment compliance scores were higher than that of the control group(P<0.05);The incidence of complications and adverse reactions in the intervention group was lower than that in the control group(P<0.05); the nursing satisfaction of the observation group was 97.95%, which was higher than 85.71% in the control group(P<0.05).Conclusion Intensified high-quality nursing care can improve the heart rate and respiratory rate of patients with COPD combined with respiratory failure by noninvasive positive pressure ventilation, improve treatment compliance, shorten the time of mechanical ventilation, prevent complications and adverse reactions, and improve nursing satisfaction.

参考文献/References:

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更新日期/Last Update: 1900-01-01