Study on the application effect of intensive care nursing in patients with respiratory failure
重症监护护理在呼吸衰竭患者中的应用效果研究

摘要

目的 探讨呼吸衰竭患者使用重症监护护理干预的临床效果。方法 选取2022年3月~2023年7月间我院收治的呼吸衰竭患者60例，使用电脑随机分组方式设置为对照组（30例，常规护理）和观察组（30例，加用重症监护护理），对比两组护理效果。结果 实施干预后，患者动脉血气指标显示观察组动脉血氧分压和PH值均优于对照组，动脉血二氧化碳分压低于对照组。且呼吸功能指标显示，观察组肺活量、潮气量、用力呼气量高于对照组，气道峰压低于对照组，差异均有统计学意义（P＜0.05）。但两组动脉血气指标干预前差异无意义（P＞0.05）。结论 临床中对呼吸衰竭患者实施重症监护护理具有一定积极意义，能够显著优化患者动脉血气情况，改善呼吸功能，有应用价值。

Abstract

Objective To explore the clinical effect of intensive care nursing intervention on patients with respiratory failure.
Methods Sixty patients with respiratory failure admitted to our hospital from March 2022 to July 2023 were randomly divided into a control group (30 cases, routine care) and an observation group (30 cases, with additional intensive care) using computer randomization. The nursing effects of the two groups were compared.
Results After implementing intervention, the arterial blood gas indicators of patients showed that the arterial oxygen partial pressure and pH value of the observation group were better than those of the control group, and the arterial carbon dioxide partial pressure was lower than that of the control group. And respiratory function indicators showed that the observation group had higher lung capacity, tidal volume, and forced expiratory volume than the control group, and lower peak airway pressure than the control group, with statistical significance (P<0.05). However, there was no significant difference in arterial blood gas indicators between the two groups before intervention (P>0.05).
Conclusion   Implementing intensive care nursing for patients with respiratory failure in clinical practice has certain positive significance, can significantly optimize the patient's arterial blood gas situation, improve respiratory function, and has practical value.