摘要
目的探讨危重症专职小组护理模式在重症慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)合并呼吸衰竭患者中的应用价值。方法选择2019年1月-2021年6月广东药科大学附属第一医院呼吸科收治的重症COPD合并呼吸衰竭患者70例,按随机数字表法将其分为两组,每组各35例。对照组予以常规护理,观察组采取危重症专职小组护理模式。对比分析两组血气分析指标变化情况、恢复情况、生活质量。结果干预后,观察组动脉二氧化碳分压(PaCO_(2))低于对照组,动脉血氧分压(PaO_(2))及健康调查简表(SF-36)评分高于对照组,入住呼吸重症监护病房(RICU)、机械通气及住院时间短于对照组,差异有统计学意义(P<0.05)。结论危重症专职小组护理模式能够有效改善重症COPD合并呼吸衰竭患者血气指标,促进病情恢复,提高患者生活质量。
Objective To explore the application value of critically ill dedicated group care model in severe chronic obstructive pulmonary disease(COPD)patients with respiratory failure.Methods 70 patients with severe COPD complicated with respiratory failure treated in the respiratory department of the First Affiliated Hospital of Guangdong Pharmaceutical University from January 2019 to June 2021 were randomly divided into two groups with 35 cases in each group.The control group was given routine nursing care,and the observation group took the critically ill full-time group nursing model,to compare and analyze the changes of blood gas analysis indexes,recovery status,and quality of life between the two groups.Results After intervention,the observation group’s arterial partial pressure of carbon dioxide(PaCO_(2))was lower than that of the control group,and the arterial blood oxygen pressure(PaO_(2))and health survey summary(SF-36)scores were higher than those of the control group.They were admitted to the respiratory intensive care unit(RICU),mechanical ventilation and hospital stay were shorter than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The critically ill full-time group nursing model can effectively improve the blood gas indexes of severe COPD patients with respiratory failure,promote the recovery of the disease,and improve the quality of life of the patients.
作者
曾桃霞
ZENG Taoxia(The First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou,Guangdong,510030)
出处
《智慧健康》
2022年第29期219-222,共4页
Smart Healthcare
关键词
重症慢性阻塞性肺疾病
呼吸衰竭
危重症专职小组护理
生活质量
Severe chronic obstructive pulmonary disease
Respiratory failure
Dedicated group care for critically ill patients
Quality of life
