Nursing care of non-invasive mechanical ventilation in the treatment of chronic obstructive pulmonary disease respiratory failure
无创机械通气治疗慢性阻塞性肺疾病呼吸衰竭的护理

摘要

目的 对无创机械通气治疗慢性阻塞性肺疾病呼吸衰竭患者的护理方案及效果进行研究。方法本次实验抽取2018年3月-2020年3月期间本院无创机械通气治疗慢性阻塞性肺疾病呼吸衰竭患者共计54例，通过抛硬币的方法将所选患者分为甲组及乙组，两组患者人数一致，每组27例患者。护理人员在实验过程中对甲组患者进行常规护理，对乙组患者进行优质护理，对两组患者并发症出现情况、住院时间及护理满意情况进行记录和分析。结果 在并发症出现情况方面，乙组患者明显低于甲组患者，甲组并发症出现几率为29.63%，乙组并发症出现几率为3.70%，并发症出现几率方面表现出较大差异，数据呈现统计学意义（p＜0.05）；在住院时间方面，乙组患者显著短于甲组患者，甲组患者住院时间为（9.6±2.5）天，乙组患者住院时间为（14.2±2.8）天，住院时间方面表现出较大差异，数据呈现统计学意义（p＜0.05）；在护理满意情况方面，乙组患者显著高于甲组患者，甲组患者护理满意度为81.48%，乙组患者护理满意度为96.30%，护理满意度方面表现出明显差异，数据呈现统计学意义（p＜0.05）。结论 在无创机械通气治疗慢性阻塞性肺疾病呼吸衰竭患者护理中优质护理有着较好的效果，其能够在一定程度上减少并发症的出现，缩短患者住院时间，促进患者护理满意度的提升，具有较高的临床价值。

Abstract

Objective: To study the nursing plan and effect of noninvasive mechanical ventilation in the treatment of chronic obstructive pulmonary disease patients with respiratory failure.
Methods: In this experiment, a total of 54 patients with chronic obstructive pulmonary disease and respiratory failure were treated by our hospital from March 2018 to March 2020, and the selected patients were divided into Group A and Group B by coin toss. The number of patients in the two groups was the same, with 27 patients in each group. During the experiment, the nursing staff provided routine care to the patients in group A, and provided high-quality care to the patients in group B, and recorded and analyzed the occurrence of complications, hospitalization time and nursing satisfaction of the patients in both groups.
Results: In terms of the occurrence of complications, the patients in group B were significantly lower than those in group A. The probability of complications in group A was 29.63%, and the probability of complications in group B was 3.70%. The data showed statistical significance (p <0.05); in terms of hospitalization time, the patients in group B were significantly shorter than those in group A, the patients in group A were (9.6 ± 2.5) days, and the patients in group B were (14.2 ± 2.8) Days, the length of hospitalization showed a big difference, the data showed statistical significance (p <0.05); in terms of nursing satisfaction, the patients in group B were significantly higher than those in group A, the satisfaction of patients in group A was 81.48%, while group B was 96.30%, and there was a significant difference in nursing satisfaction. The data showed statistical significance (p <0.05).
Conclusion  : High-quality care has a good effect in the treatment of patients with chronic obstructive pulmonary disease and respiratory failure by noninvasive mechanical ventilation. It can reduce the occurrence of complications to a certain extent, shorten the hospitalization time of patients, and promote the improvement of patient satisfaction, which has a high clinical value.