摘要
目的:探讨基于感知理论的多感官支持模式在慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者中的应用效果。方法:采用便利抽样法,选取天津市某三级甲等综合医院呼吸ICU于2023年7月至2024年4月收治的87例患者为研究对象,分为对照组(n=43)和干预组(n=44)。对照组采用常规护理模式;干预组在常规护理的基础上采用多感官支持模式。比较两组患者干预前后睡眠质量、认知功能、谵妄发生率及血气分析指标水平。结果:干预后,干预组Richards Campbell睡眠量表评分、认知功能评分均高于对照组,谵妄发生率、谵妄持续时间、二氧化碳分压均低于对照组,差异有统计学意义(P<0.05)。结论:基于感知理论的多感官支持模式可有效改善COPD合并Ⅱ型呼吸衰竭患者的睡眠质量,减少谵妄的发生率及持续时间,改善患者认知状态。
Objective:To explore the effect of multi-sensory support model based on perception theory in COPD patients with type II respiratory failure.Methods:A total of 87 patients admitted to the respiratory ICU of a grade A tertiary general hospital in Tianjin from July 2023 to April 2024 were selected by convenience sampling method and divided into control group(n=43)and experimental group(n=44).The control group received routine nursing model.The experimental group adopted multi-sensory support model on the basis of routine nursing.Sleep quality,cognitive function,incidence of delirium and blood gas analysis were compared before and after intervention between two groups.Results:After intervention,Richards Campbell sleep scale score and cognitive function score of experimental group were significantly higher than those of control group(P<0.05).The incidence of delirium,delirium duration and the PCO_(2) in experimental group were significantly lower than those in control group(P<0.05).Conclusion:The application of multi-sensory support model based on perception theory in COPD patients with typeⅡrespiratory failure has good effects,which can effectively optimize the sleep structure of patients,reduce the incidence and duration of delirium,improve the cognitive status of patients.
作者
贺艳
于文慧
张小璐
刘青
吕丹
HE Yan;YU Wenhui;ZHANG Xiaou;LIU Qing;LYU Dan(Tianjin Third Central Hospital,Tianjin 300170;The Third Central Clinical College of Tianjin Medical University)
出处
《天津护理》
2025年第4期385-391,共7页
Tianjin Journal of Nursing
基金
天津市卫生健康科技项目(TJWJ2021QN024)
天津市医学重点学科建设项目(TJYXZDXK-025A)。
关键词
感知理论
多感官支持模式
慢性阻塞性肺疾病
Ⅱ型呼吸衰竭
Perception theory
Multi-sensory support model
Chronic obstructive pulmonary disease
TypeⅡrespiratory failure
