综合护理模式对慢性阻塞性肺疾病急性加重合并Ⅱ型呼吸衰竭患者的影响

摘要

Objective To investgate the clinical effects of comprehensive nursing care on patients with acute exac‐erbation chronic obstructive pulmonary disease (AECOPD) and respiratory failure . Methods 120 patients with acute exacerbation chronic obstructive pulmonary disease and respiratory failure were selected for ours study .There were divided into the control group(general nursing group) and the experimental group(comprehensive nursing group) according to the different nursing modes .We took the self rating anxiety scale (SAS) and self rating de‐pression scale (SDS) to evaluate the patients with acute exacerbation chronic obstructive pulmonary disease and re‐spiratory failure .meanwhile ,we analyzed the changes of SAS score ,SDS score ,related indicators of blood gas and the nursing satisfaction after the different nursing modes . Results Compared with the control group ,the SAS score ,the SDS score and the related indicators of blood gas as PO2 ,PCO2 and the pH in the experimental group were not significantly decreased(allP>0 .05) .After the nursing ,the SAS score ,the SDS score and the PCO2 in the control group and the experimental group were significantly decreased ,the PO2 and the pH in the control group and the experimental group were significantly increased(allP<0 .01) .Compared with the control group ,the SAS score , the SDS score and the PCO2 in the experimental group after the nursing were significantly decreased (all P<0 .01) , the PO2 ,the pH and the nursing satisfaction in the experimental group were significantly increased (allP<0 .01) . Conclusion The comprehensive nursing can significantly improve the clinical effects and the nursing satisfaction of acute exacerbation chronic obstructive pulmonary disease and respiratory failure ,reduce their SAS score and SDS sco re .%目的：探讨综合护理模式对无创呼吸机治疗慢性阻塞性肺疾病急性加重（AECOPD）合并Ⅱ型呼吸衰竭患者的临床疗效。方法选取2013年1月～2016年1月我院收治行无创呼吸机治疗的AECOPD合并Ⅱ型呼吸衰竭患者120例，随机分为对照组和实验组各60例，对照组采用常规护理模式，实验组在常规护理模式的基础上给予综合护理干预，分别采用焦虑自评量表（SAS）、抑郁自评量表（SDS）对 AECOPD合并Ⅱ型呼吸衰竭患者护理前后进行评分，分析护理前后两组患者血气分析指标、SAS评分、SDS评分及护理满意度情况。结果护理前，两组患者的动脉血气分析指标（PO2、PCO2、pH ）、SAS 评分、SDS 评分比较，差异无统计学意义（P＞0．05）。护理后，两组患者动脉血气分析指标（PO2、PCO2、pH）均有改善，实验组的各项指标改善程度显著优于对照组，SAS评分和SDS评分均低于对照组，患者满意度（96．7％）显著高于对照组（78．3％），差异均有统计学意义（均 P＜0．01）。结论综合护理可显著提高无创呼吸机治疗 AECOPD 合并Ⅱ型呼吸衰竭患者的临床疗效，有效缓解其焦虑及抑郁情绪，提高患者护理满意度。