摘要
目的探讨延续性护理在无创呼吸机治疗慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭患者中的应用效果。方法 50例COPD合并Ⅱ型呼吸衰竭患者随机分为对照组和观察组,各25例。在无创呼吸机辅助治疗和护理的基础上,对照组给予常规出院指导,观察组实施延续性护理。比较2组患者干预前后的血气分析Pa CO2值、慢性阻塞性肺疾病评估测试评分(CAT)、再入院情况。结果干预后观察组患者Pa CO2值改善幅度优于对照组(P<0.05),CAT评分增高幅度低于对照组(P<0.05)。观察组再入院率4.0%(1/25),低于对照组16.0%(4/25),但差异无统计学意义(P>0.05)。结论对于无创呼吸机治疗COPD合并呼吸衰竭患者实施延续性护理,可以在一定程度上稳定患者的Pa CO2水平,延缓疾病的进程。
Objective obstructive pulmonary disease （COPD） patients w ith type Ⅱ respiratory failure receiving non- inva-sive ventilation treatment. Methods Totally 50 COPD patients with type Ⅱ respiratory failurewere randomly divided into the control group and intervention group,w ith 25 cases in each group.Both groups received non-invasive ventilation treatment and routine care. Patients in the control group were given regular health education before discharge,and those in the intervention groupwere given continuing nursing intervention after discharge. The partial pressure o f carbon dioxide （PaCO2）,COPDAssessment Test （CAT）,and the readmission rate were compared between two groups. Results The Patients in the intervention group had a lower PaCO2 and CATcomparedwith those in the control group after intervention （P〈0. 05）. The readmission rate was 4. 0 % （1/25） in the intervention group and was 16. 0X （4/25） in the control group,but with no s ignif-icant difference （ P 〉 0. 05）. Conclusion Continuous nursing intervention is potentially effectiveto control ttie level of PaCO2 and slow disease progression in patients spiratory failure after discharge.
出处
《中西医结合护理（中英文）》
2017年第10期42-45,共4页
Journal of Clinical Nursing in Practice
关键词
延续性护理
无创呼吸机
慢性阻塞性肺疾病
Ⅱ型呼吸衰竭
continuous nursing intervention
noninvasiv even ilation
chronic obstructive pulmonary disease
type P re spiatory failure
