医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
24期
145-145
,共1页
心理干预%护理%慢性阻塞性肺疾病,呼吸衰竭%无创呼吸机
心理榦預%護理%慢性阻塞性肺疾病,呼吸衰竭%無創呼吸機
심리간예%호리%만성조새성폐질병,호흡쇠갈%무창호흡궤
Psychological intervention%Nursing%Chronic obstructive pulmonary disease%Respiratory failure%Non-invasive ventilator
目的探讨心理干预对COPD伴呼吸衰竭患者使用无创呼吸机的影响。方法将48例确诊为COPD伴呼吸衰竭的患者随机分为两组：常规护理组和心理干预组,常规护理组给予控制感染、吸氧、化痰、解除支气管痉挛、无创呼吸机辅助呼吸以及纠正水、电解质、酸碱平衡失调、支持对症等治疗及常规护理；心理干预组在常规护理组的基础上予心理干预。于治疗前、后测血气分析以及无创通气时间、气管插管率、死亡率及人机对抗率等。结果治疗后人性化护理组的PaO2显著高于治疗前，PaCO2显著低于治疗前。两组之间比较，人性化护理组的PaO2,治疗结束后显著高于常规护理组(<0.05)；PaCO2则显著低于常规护理组(<0.05)。心理干预护理组每天的无创通气时间、气管插管率、死亡率及人机对抗率与常规护理组比较有显著性差异(<0.05)。结论心理干预护理可以改善COPD伴呼吸衰竭患者的缺氧,减少二氧化碳潴留,提高生存率,减少死亡率。
目的探討心理榦預對COPD伴呼吸衰竭患者使用無創呼吸機的影響。方法將48例確診為COPD伴呼吸衰竭的患者隨機分為兩組：常規護理組和心理榦預組,常規護理組給予控製感染、吸氧、化痰、解除支氣管痙攣、無創呼吸機輔助呼吸以及糾正水、電解質、痠堿平衡失調、支持對癥等治療及常規護理；心理榦預組在常規護理組的基礎上予心理榦預。于治療前、後測血氣分析以及無創通氣時間、氣管插管率、死亡率及人機對抗率等。結果治療後人性化護理組的PaO2顯著高于治療前，PaCO2顯著低于治療前。兩組之間比較，人性化護理組的PaO2,治療結束後顯著高于常規護理組(<0.05)；PaCO2則顯著低于常規護理組(<0.05)。心理榦預護理組每天的無創通氣時間、氣管插管率、死亡率及人機對抗率與常規護理組比較有顯著性差異(<0.05)。結論心理榦預護理可以改善COPD伴呼吸衰竭患者的缺氧,減少二氧化碳潴留,提高生存率,減少死亡率。
목적탐토심리간예대COPD반호흡쇠갈환자사용무창호흡궤적영향。방법장48례학진위COPD반호흡쇠갈적환자수궤분위량조：상규호리조화심리간예조,상규호리조급여공제감염、흡양、화담、해제지기관경련、무창호흡궤보조호흡이급규정수、전해질、산감평형실조、지지대증등치료급상규호리；심리간예조재상규호리조적기출상여심리간예。우치료전、후측혈기분석이급무창통기시간、기관삽관솔、사망솔급인궤대항솔등。결과치료후인성화호리조적PaO2현저고우치료전，PaCO2현저저우치료전。량조지간비교，인성화호리조적PaO2,치료결속후현저고우상규호리조(<0.05)；PaCO2칙현저저우상규호리조(<0.05)。심리간예호리조매천적무창통기시간、기관삽관솔、사망솔급인궤대항솔여상규호리조비교유현저성차이(<0.05)。결론심리간예호리가이개선COPD반호흡쇠갈환자적결양,감소이양화탄저류,제고생존솔,감소사망솔。
Objective To investigate the ef ect of psychological intervention on the use of non-invasive ventilation in patients for COPD with respiratory ailure patients. Methods 48 cases of patients for COPD with respiratory failure were randomly divided into two groups:routine nursing group and psychological intervention group, routine nursing group were given to control infection, oxygen, expectorant, relieve bronchial spasm, noninvasive ventilator assisted breathing and cor ect water, electrolyte, acid-base balance, support and symptomatic treatment and routine nursing care;psychological intervention group received psychological intervention based on routine nursing group on.Before and after treatment,blood gas analysis and measurement of noninvasive ventilation time,the rate of endotracheal intubation, mortality and rate of man-machine confrontation.Results The treatment of later generations of nursing groupPaO2 was significantly higher than that before treatment,PaCO2 was significantly lower than that before treatment.Comparison between the two groups,the humanized nursing group PaO2,after the end of treatment was significantly higher than that of the routine nursing group ( <0.05);PaCO2 is significantly lower than the routine nursing group ( <0.05). The dif erences of noninvasive ventilation time, the rate of endotracheal intubation, mortality and man-machine confrontation between the two group after treatment were statistical y significant ( <0.05). Conclusion Psychological intervention can improve the hypoxic, reduce carbon dioxide retention, improve the survival rate, reduce the mortality rate for COPD with respiratory failure patients.
