期刊文献+

BiPAP治疗COPD急性加重期合并呼吸衰竭的综合护理效果观察 预览 被引量:6

Effect observation of comprehensive nursing care for BiPAP in the treatment of acute exacerbation of COPD complicating by respiratory failure
在线阅读 下载PDF
收藏 分享 导出
摘要 目的 探究与分析BiPAP治疗COPD急性加重期合并呼吸衰竭的综合护理.方法 选取本院2012年12月至2015年12月收治的90例COPD急性加重期合并呼吸衰竭患者,均给予BiPAP治疗,按照就诊时间顺序分为常规护理组与综合护理组,每组45例.常规护理组给予用药指导,血气分析指标及肺功能指标监测,健康教育等;综合护理组在其基础上加用心理护理、呼吸机的检查调试、密切观察病情、气道通气护理、加强呼吸训练与营养支持及预防并发症护理;比较两组患者血气指标、肺功能指标变化及生活质量.结果 两组患者治疗后pH、PaO2、SpO2、FEV1、FEV1/FVC较治疗前升高,PaCO2降低,综合护理组较常规护理组相比上述指标改善更加显著,两组比较差异有统计学意义(P<0.05).综合护理组患者躯体功能、角色功能、情绪功能、认知功能、社会功能、总体健康状况得分与常规护理组相比均明显提高,差异有统计学意义(P<0.05).结论 综合性护理用于BiPAP治疗COPD急性加重期合并呼吸衰竭对患者PaO2、SpO2等血气及肺功能指标起到了改善作用,提高了患者生活质量. Objective To analyze comprehensive nursing care for BiPAP in the treatment of acute exacerbation of COPD (AECOPD) complicating by respiratory failure.Methods 90 cases of AECOPD complicating by respiratory failure treated with BiPAP in our hospital between December 2012 and December 2015 were selected and divided into routine nursing group and comprehensive nursing group according to the time sequence,45 cases in each group.Routine nursing group was given medication guidance,blood gas analysis and lung function indicators monitoring,health education,etc.;and comprehensive nursing group was given psychological nursing,debugging with breathing machine,close observation on the illness,airway nursing,strengthening respiratory training and nutrition support,complications prevention on the basis of routine nursing group.Compared blood gas index,pulmonary function index changes,and the quality of life of two groups.Results pH,PaO2,SPO2,FEV1,FEV1/FVC increased after treatment in both two groups,PaCO2 decreased,those in comprehensive nursing group changed more significantly,with statistically significant differences between two groups (P〈0.05).The score of physical function,role function,emotional function,cognitive function,overall health status in comprehensive nursing group were significantly higher than those in routine nursing group,with statistically significant differences between two groups (P〈0.05).Conclusion Comprehensive nursing care for BiPAP in the treatment of AECOPD complicating by respiratory failure has played an important role in improving blood gas and lung function indexes such as PaO2 and SaO2,and the quality of life.
作者 郑路 Zheng Lu( No.1 lnternal Medicine, The People's Hospital of Dongping County, Taian 271500, China)
出处 《国际医药卫生导报》 2016年第19期3023-3026,共4页 International Medicine & Health Guidance News
关键词 综合性护理 无创呼吸机(BiPAP) 慢性阻塞性肺病(COPD) 呼吸衰竭 Comprehensive nursing care Noninvasive ventilator (BiPAP) Chronic obstructivepulmonary disease (COPD) Respiratory failure
  • 相关文献

参考文献15

二级参考文献105

共引文献178

同被引文献51

二级引证文献17

投稿分析

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部 意见反馈