家庭无创正压通气的慢性阻塞性肺疾病应用连续护理干预的影响研究.docVIP

精品论文 参考文献 家庭无创正压通气的慢性阻塞性肺疾病应用连续护理干预的影响研究 张欣 [摘 要]目的：探析慢性阻塞性肺疾病在家庭无创正压通气治疗中运用连续护理干预的临床效果。方法：选择2013年11月-2014年11月期间我院收治的慢性阻塞性肺疾病患者60例为研究对象，采用数字随机法将其分为两组，其中给予对照组常规护理和随访，而观察组则运用连续护理干预及随访，对两组的干预效果进行对比分析。结果：出院时，两组的动脉氧分压（PaO2）、第一秒用力呼气容积（FEV1）、动脉二氧化碳分压（PaCO2）以及FEV1/用力肺活量（FVC）等各项指标比较无明显差异（Pgt;0.05）；随访6个月，相比较对照组而言，观察组的PaO2、FEV1、FVC以及PaCO2改善明显，组间比较差异有统计学意义（Plt;0.05）；与对照组比较，观察组的并发症发生率较低，组间比较差异明显（Plt;0.05）；同时，两组的住院天数、住院次数以及护理满意度比较差异有统计学意义（Plt;0.05）。结论：临床上给予慢性阻塞性肺疾病患者家庭无创正压通气治疗时，再运用连续护理干预，一方面可以使并发症发生率降低，另一方面还能使治疗效果提高，改善患者的肺功能和生活质量，具有推广价值。 [关键词]连续护理干预 慢性阻塞性肺疾病 家庭无创正压通气 DOI:10.3760/cma.j.issn.0376-2491.2016.16.59 作者单位：638500，四川广安，华西大学广安医院 The influence of continuous nursing intervention on patients with chronic obstructive pulmonary disease with non invasive positive pressure ventilation Zhang Xin Abstract： objective: to explore the chronic obstructive pulmonary disease in the family in noninvasive positive pressure ventilation therapy for the clinical effect of nursing intervention. Methods: in November 2013 - November 2014 our hospital during the period of 60 patients with chronic obstructive pulmonary disease as the research object, by using the method to digital random divided into two groups, which give control group routine care and follow-up, while the observation group with continuous nursing intervention and follow-up, intervention effect of two groups were analyzed. Results: when I left the hospital two groups of arterial oxygen partial pressure (PaO2), forced expiratory volume in first second (FEV1), arterial partial pressure of carbon dioxide (PaCO2) and FEV1 / forced vital capacity (FVC), and other indicators was no significant difference (P gt; 0.05); Were followed up for 6 months, compared with the control group, observation group PaO2, FEV1 and FVC and PaCO2 improve significantly, compare the differences between groups was statistically significant (P lt; 0.05); Compared with the control group and observation group with low incidence of complications, co