[1]国 旭.集束化护理对无创呼吸机治疗心衰患者的护理效果及对左心功能的影响[J].医学信息,2024,37(20):167-170174.[doi:10.3969/j.issn.1006-1959.2024.20.036]
　GUO Xu.Nursing Effect of Cluster Nursing on Patients with Heart Failure Treated by Continuous Positive Airway Pressure and its Influence on Left Ventricular Function[J].Journal of Medical Information,2024,37(20):167-170174.[doi:10.3969/j.issn.1006-1959.2024.20.036]
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集束化护理对无创呼吸机治疗心衰患者的护理效果及对左心功能的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年20期
页码:
167-170174
栏目:
护理研究
出版日期:
2024-10-15

文章信息/Info

Title:
Nursing Effect of Cluster Nursing on Patients with Heart Failure Treated by Continuous Positive Airway Pressure and its Influence on Left Ventricular Function
文章编号:
1006-1959（2024）20-0167-05
作者:
国 旭
天津市胸科医院心内一科，天津 300222
Author(s):
GUO Xu
The First Department of Cardiology,Tianjin Chest Hospital,Tianjin 300222,China
关键词:
心力衰竭; 集束化护理; 左心功能; 无创呼吸机; 呼吸机相关性肺炎
Keywords:
Heart failure; Cluster nursing; Left ventricular function; Continuous positive airway pressure; Ventilator-associated pneumonia
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2024.20.036
摘要:
目的 研究集束化护理对无创呼吸机（CPAP）治疗心衰患者的护理效果及对左心功能的影响。方法 以2020年9月-2022年9月天津市胸科医院收治的67例心衰患者为研究对象，按照随机数字表法分为对照组（33例）与观察组（34例）。两组均给予常规抗心衰治疗和CPAP辅助治疗，对照组行常规护理，观察组在其基础上应用集束化护理，比较两组呼吸循环指标[呼吸频率（RR）、心率（HR）、平均动脉压（MAP）]、左心功能[左心室收缩末期内径（LVESD）、左心室舒张末期内径（LVEDD）、左心室射血分数（LVEF）]、并发症[误吸、消化道溃疡、静脉血栓、呼吸机相关性肺炎（VAP）]、结局指标（呼吸机使用时间、死亡率）。结果 观察组护理后RR、HR、MAP小于护理前，且观察组RR、HR、MAP小于对照组（P＜0.05）；观察组护理后LVEDD、LVESD小于护理前，LVEF大于护理前，且观察组LVEDD、LVESD小于对照组，LVEF大于对照组（P＜0.05）；观察组并发症发生率低于对照组（P＜0.05）；两组均无死亡病例，且观察组呼吸机使用时间短于对照组（P＜0.05）。结论 集束化护理在心衰患者CPAP治疗中具有确切护理效果，可促进患者呼吸循环恢复，改善机体左心功能，缩短呼吸机使用时间，降低患者的并发症风险。
Abstract:
Objective To study the nursing effect of cluster nursing on patients with heart failure treated by continuous positive airway pressure (CPAP) and its effect on left ventricular function.Methods A total of 67 patients with heart failure admitted to Tianjin Chest Hospital from September 2020 to September 2022 were divided into control group (33 patients) and observation group (34 patients) according to random number table method. Both groups were given routine anti-heart failure treatment and CPAP adjuvant therapy. The control group received routine nursing, and the observation group applied cluster nursing on the basis of routine nursing. The respiratory and circulatory indexes [respiratory rate (RR), heart rate (HR), mean arterial pressure (MAP)], left ventricular function [left ventricular end systolic diameter (LVESD), left ventricular end diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF)], complications [aspiration, gastrointestinal ulcer, venous thrombosis, ventilator-associated pneumonia (VAP)], outcome indicators (ventilator use time, mortality) were compared between the two groups.Results The RR, HR and MAP of the observation group after nursing were less than those before nursing, and the RR, HR and MAP of the observation group were less than those of the control group (P<0.05). After nursing, LVEDD and LVESD in the observation group were smaller than those before nursing, LVEF was larger than that before nursing, LVEDD and LVESD in the observation group were smaller than those in the control group, and LVEF was larger than that in the control group (P<0.05). The incidence of complications in the observation group was lower than that in the control group (P<0.05). There were no deaths in both groups, and the ventilator use time in the observation group was shorter than that in the control group (P<0.05).Conclusion Cluster nursing has a definite nursing effect in CPAP treatment of patients with heart failure, which can promote the recovery of respiratory circulation, improve the left heart function of the body, shorten the use time of ventilator, and reduce the risk of complications.

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更新日期/Last Update: 1900-01-01