程序化护理在行无创通气的慢性阻塞性肺疾病患者中的应用.docVIP

精品论文 参考文献 程序化护理在行无创通气的慢性阻塞性肺疾病患者中的应用 郭明学 谷红俊 于丽丽 张 燕 　　中国人民解放军总医院 北京 100853 　　【摘 要】目的：研究程序化护理方法在行无创通气的慢性阻塞性肺疾病患者中的应用效果。方法：35例无创正压通气治疗的慢性阻塞性肺疾病急性加重期患者随机分为实验组(n=16)、对照组(n=19),实验组给予程序化护理，对照组给予常规的护理，对比观察两组患者的临床护理效果。结果：两组患者在人机对抗、幽闭症、腹胀、口鼻干燥、眼睛干涩等并发症方面差异有统计学意义(p﹤0.05)。实验组舒适度评分明显高于对照组，P﹤0.01差异有统计学意义。结论：慢性阻塞性肺疾病患者在使用无创呼吸机治疗期间采取程序化护理方法可增加患者舒适度、提高依从性，减少并发症的发生。 　　【关键词】无创通气；慢性阻塞性肺疾病；程序化护理 　??【中图分类号】R473.5 【文献标识码】A 【文章编号】1674-8999（2015）9-0605-02 　　Observation on the effects of the programmed nursing mode for patients with chronic obstructive pulmonary disease accepting non-invasive ventilation 　　【Abstract】Objective：To investigate the effects of the programmed nursing mode for patients with chronic obstructive pulmonary disease accepting noninvasive ventilation. Method: A total of 35 patients with acute exacerbation of chronic obstructive pulmonary disease of the application of noninvasive ventilation were divided into the observation group（16 cases）and the control group（19 cases） randomly. Patients in the observation group were given the programmed nursing mode,while the control group received normal nursing procedure.Clinical effects were compared.Result: Two groups of patients in patient-ventilator asynchrony、claustrophobic、abdominal distension、dryness of mouth and nose、dryness of eyes and other complications was statistically significantly (p lt;0.05). The comfort level score of the observation group was significant different from of the control group（p﹤0.01）.Conclusion：The programmed nursing mode for patients canincrease patient s comfort level , improve compliance and reduce the incidence rate of related complications of noninvasive ventilation. 　　【Key words】Noninvasive ventilation; Chronic obstructive pulmonary disease; programmed nursing mode 　　慢性阻塞性肺疾病( chronic obstructive pulmonary disease, COPD) 是一种具有气流受限特征的肺部疾病, 按病程可分为急性加重期与稳定期, 慢性阻塞性肺疾病急性加重期( acute exacerbation of chronic obstructive pulmonary disease, AECOPD) 是指患者短期内咳嗽、咳痰、气短和(或) 喘息加重, 痰量增多, 呈脓性或黏脓性[1