CAJ | 학술논문

目的探讨激励护理能否有效提高患者治疗的依从性及治疗效果.方法将2008年6月至2011年6月呼吸科收治的慢性阻塞性肺疾病(COPD)合并Ⅱ型呼吸衰竭患者68例,按无创呼吸机治疗时间的顺序随机分为对照组和观察组各34人,对照组按常规给予通气治疗及在治疗前给予健康教育和心理护理,观察组在此基础上,在治疗前、中不断给予激励护理.两组在治疗第3天分别行动脉血气分析检查及依从性比较,比较两组PaO,、PaCO2、pH值及依从性.结果实施激励护理后,观察组的依从率为82.4％,对照组的依从率为41.2％,两组比较差异有统计学意义(x2=4.533,P＜0.01).实施治疗后,两组在PaO2、PaC02、pH值都有一定的改善,但观察组改善程度明显,两组比较差异有统计学意义(t分别为2.353,4.261,5.130;P ＜0.05).结论激励护理能大幅度提高患者使用BiPAP呼吸机的依从性及治疗效果.
목적 탐토격려호리능부유효제고환자치료적의종성급치료효과.방법 장2008년6월지2011년6월호흡과수치적만성조새성폐질병(COPD)합병Ⅱ형호흡쇠갈환자68례,안무창호흡궤치료시간적순서수궤분위대조조화관찰조각34인,대조조안상규급여통기치료급재치료전급여건강교육화심리호리,관찰조재차기출상,재치료전、중불단급여격려호리.량조재치료제3천분별행동맥혈기분석검사급의종성비교,비교량조PaO,、PaCO2、pH치급의종성.결과 실시격려호리후,관찰조적의종솔위82.4％,대조조적의종솔위41.2％,량조비교차이유통계학의의(x2=4.533,P＜0.01).실시치료후,량조재PaO2、PaC02、pH치도유일정적개선,단관찰조개선정도명현,량조비교차이유통계학의의(t분별위2.353,4.261,5.130;P ＜0.05).결론 격려호리능대폭도제고환자사용BiPAP호흡궤적의종성급치료효과.
Objective To explore the effect of encouraging nursing on the compliance and biphasic positive airway pressure (BiPAP) mechanical ventilation therapy of patients.Methods Totals of 68 cases with chronic obstructive pulmonary disease and type Ⅱ respiratory failure between June 2008 and June 2011,according to ventilator treatment time sequence,were randomly divided into the control group and observation group,each group with 34 cases.The control group received the routine ventilation treatment,health education and psychological nursing before ventilation treatment,while the observation group patients,on the basic of this,before and during treatment,received constant encouraging nursing.And the arterial blood gas analysis of all cases in the third days was conducted,and PaO2,PaCO2,pH value and compliance were observed and compared between two groups.Results After encouraging nursing,the compliance rate was 82.4％ in the observation group,and that was 41.2％ in control group,and the difference was statistically significant (x2 =4.533,P ＜ 0.01 ).After intervention,PaO2,PaCO2,pH value of all patients were improved,especially significantly improved in the observation group,the difference was statistically significant ( t =2.353,4.261,5.130,respectively;P＜0.05).Conclusions Encouraging nursing can significantly improve patients' compliance of using BiPAP ventilator and improve the treatment effect.