危重症专职护理小组对COPD伴呼吸衰竭患者护理质量及预后的影响

摘要

Objective:To investigate the effect of special nursing group for critically ill patients on the quality of nursing care and prog-nosis of patients with chronic obstructive pulmonary disease ( COPD) complicated with respiratory failure. Methods:62 patients with COPD complicated with respiratory failure were randomly divided into the observation group and the control group (31 cases in each group). The patients in the control group were given routine nursing care and the patients in the observation group were given nursing care by the spe-cial nursing group,the nursing quality and prognosis of the patients were compared between the two groups. Results:The PaCO2 ,PaO2 , SaO2 and pH value were higher in the observation group than those in the control group (P<0. 05);the incidence of complications was low-er in the observation group than the control group (P<0. 05);the length of stay in ICU,mechanical ventilation time and average hospitali-zation days were shorter in the observation group than those in the control group (P<0. 05);the scores of satisfaction were higher in the observation group than the control group (P<0. 05);compared with the control group,the total score of basic nursing care,document man-agement,specific nursing care, ward environment and safety, emergency items and equipment, disinfection, health education and nursing quality significantly increased in the observation group (P<0. 05). Conclusion:The special nursing group for critically ill patients can ef-fectively improve the quality of nursing care for patients with COPD complicated with respiratory failure and promote the prognosis of the patients.%目的:探讨危重症专职护理小组对慢性阻塞性肺疾病( COPD)伴呼吸衰竭患者护理质量及预后的影响. 方法:将62例COPD合并呼吸衰竭患者随机分为观察组和对照组各31例,对照组给予常规性护理,观察组应用危重症专职护理小组实施护理,对比分析两组护理质量及预后的情况. 结果:观察组干预后动脉二氧化碳分压( PaCO2 )、动脉血氧分压( PaO2 )、血氧饱和度(SaO2)及pH值高于对照组(P<0. 05). 观察组并发症发生率低于对照组(P<0. 05),观察组ICU时间、机械通气时间、平均住院时间短于对照组(P<0. 05),满意度评分高于对照组(P<0. 05). 与对照组相比,观察组基础护理、文书管理、专科护理、病房环境及安全、急救物品及器械、消毒隔离、健康教育、护理质量总评分显著升高(P<0. 05). 结论:危重症专职护理小组能有效提高COPD伴呼吸衰竭患者护理质量,促进患者预后.