目的：研究优质护理干预措施对老年急性加重期慢性阻塞性肺疾病（chronic obstructive pulmonary disease,COPD）并发呼吸衰竭患者的应用效果。方法：将136例老年急性加重期COPD并发呼吸衰竭患者应用随机数表法分为对照组和观察组,每组各68例。对照组患者治疗期间给予常规护理干预,观察组患者在对照组常规护理基础上实施优质护理干预措施,观察比较两组患者的肺功能指标及血气分析指标改善情况。结果：护理干预后,观察组治疗总有效率94.12%（64/68）高于对照组的82.35%（56/68）,差异有统计学意义（P〈0.05）;观察组患者的FEV1、FEV1/FVC等肺功能指标水平均高于对照组,差异有统计学意义（P〈0.05）;观察组护理后Pa CO2水平低于对照组,Pa O2和p H水平高于对照组,差异有统计学意义（P〈0.05）。结论：在老年急性加重期COPD并发呼吸衰竭患者治疗期间实施优质护理干预措施可增强临床治疗效果,改善肺功能及呼吸衰竭,利于疾病的临床控制,避免病情加重发展。
Objective： To study the effect of quality nursing interventions in elderly patients with acute exacerbation of chronic obstructive pulmonary disease（ COPD） complicated with respiratory failure. Methods： 136 cases of elderly patients with COPD complicated with respiratory failure were enrolled. All the patients were randomized to the control group and the observation group,each group of 68 cases. The patients in the control group were given routine care interventions during treatment,and the patients in the observation group were treated with high quality nursing care on the basis of conventional nursing care in the control group. After treatment,the improvement of lung function index and blood gas analysis index were observed. Results： After treatment,the total effective rate was94. 12%（ 64/68） in the observation group was higher than the rate 82. 35（ 56/68） in the control group,the difference was statistically significant（ P〈0. 05）. The levels of FEV1 and FEV1/FVC in the observation group were higher than those in the control group,the difference was statistically significant（ P〈0. 05）. The level of Pa CO2 in the observation group was lower than that in the control group,and the levels of Pa O2 and p H in the observation group were higher than those in the control group,the difference was statistically significant（ P〈0. 05）. Conclusion： Elderly patients with acute exacerbation of COPD complicated with respiratory failure are given high quality care interventions in the treatment,can enhance the clinical treatment,improve lung function and respiratory failure,be beneficial to the clinical control of the disease and avoid the aggravation of the disease.
Journal of North Sichuan Medical College
Quality care intervention
Chronic obstructive pulmonary