综合护理干预对COPD合并呼吸衰竭患者生活质量的影响.DOCVIP

综合护理干预对COPD合并呼吸衰竭患者生活质量的影响 杨柳（商丘市第一人民医院呼吸重症医学科RICU 河南商丘 476100） [摘要] 目的 研究综合护理干预对COPD合并呼吸衰竭患者生活质量的影响。方法 将商丘市第一人民医院呼吸重症医学科RICU收治的50例COPD合并呼吸衰竭患者作为研究对象，随机分为两组，均25例。对照组采取常规护理，观察组给予综合护理干预。比较两组患者生活质量及动脉血气指标。结果 观察组PH、PaO2、SaO2均明显高于对照，PaCO2明显低于对照组，差异显著（P＜0.05）；观察组患者生活质量明显优于对照组，差异显著（P＜0.05）。结论 COPD合并呼吸衰竭患者给予综合护理干预后临床效果显著，患者生活质量明显改善，整体护理质量提高，临床应用价值高。 [关键词] 综合护理干预；呼吸衰竭；COPD；生活质量 Effect of comprehensive nursing intervention on quality of life of patients with COPD complicated with respiratory failure Yang Liu (Shangqiu First Peoples Hospital respiratory ICU RICU Henan Shangqiu 476100) [Abstract] Objective To study the effect of comprehensive nursing intervention on the quality of life of patients with COPD combined with respiratory failure. Methods 50 cases of COPD complicated with respiratory failure were randomly divided into two groups, cases in Shangqiu First Peoples Hospital, and 25 cases were randomly divided into groups. The control group was treated with routine nursing, and the observation group was given comprehensive nursing intervention. The quality of life and arterial blood gas indexes were compared between the two groups. Results the observation group PH, PaO2, SaO2 were significantly higher than the control, PaCO2 was significantly lower than the control group, the difference was significant (P 0.05); the quality of life in the observation group was significantly better than the control group, the difference was significant (P 0.05). Conclusion COPD combined with respiratory failure in patients with comprehensive nursing intervention has significant clinical effect, the quality of life of patients improved significantly, the overall quality of care, clinical application value is high. [Key words] comprehensive nursing intervention; respiratory failure; COPD; quality of life 慢性阻塞性肺疾病是临床上常见的呼吸系统疾病，多发于老年人群，其致残率和病死率较高，严重影响患者身心健康及生活质量[1]。因此需加强对COPD合并呼吸衰竭患者的治疗与护理。为寻求更有效的护理方法，本研究将本院收治的50例COPD合并呼吸衰竭患者进行综合护理干预，取得良好效果。结果如下。 1 资料与方法 1.1 一般资料 将2014年1月—2015年1月期商丘市第一人民医院呼