The therapeutic effect of bundle nursing on non-invasive positive pressure ventilation in patients with chronic obstructive pulmonary disease complicated with acute respiratory failure
集束化护理对慢阻肺合并急性呼吸衰竭无创正压通气患者的疗效影响

摘要

目的 分析讨论集束化护理对慢阻肺合并急性呼吸衰竭无创正压通气患者的疗效影响。方法 选择医院2022-2023所接收的90例慢阻肺合并急性呼吸衰竭无创正压通气患者，随机数字法作为两个组别，为研究组以及对照组两个组，分别使用不一样的护理方式（集束化护理和常规护理）。比较两组护理前后血气分析指标和心理状况及呼吸功能。结果 1.护理后研究组血气分析指标[脉氧分压（64.18±5.73）mmHg，动脉二氧化碳分压（45.48±7.84）mmHg，血氧饱和度（96.13±4.35）%]优于对照组，（P<0.05）；2.研究组心理状况（33.6±2.1分，40.32±4.43分）比对照组好，（P<0.05）；3.研究组呼吸力学指标[气道阻力（9.12±1.98）cmH2O/（L.s），呼吸做功（0.34±0.12）J/L，动态顺应性（35.25±5.01）mL/cmH2O]改善度比对照组高（P<0.05）。结论 对于慢阻肺合并急性呼吸衰竭并且进行无创正压通气的病人采用集束化护理的疗效明显，值得广泛推广与应用。

Abstract

Objective To analyze and discuss the therapeutic effect of bundle nursing on non-invasive positive pressure ventilation in patients with chronic obstructive pulmonary disease complicated with acute respiratory failure.
Methods Select 90 patients with chronic obstructive pulmonary disease and acute respiratory failure who received non-invasive positive pressure ventilation in the hospital from 2022 to 2023, and use random number method as two groups: the study group and the control group, each using different nursing methods (bundled nursing and routine nursing). Compare the blood gas analysis indicators, psychological status, and respiratory function between two groups before and after nursing.
Results 1. After nursing, the blood gas analysis indicators of the study group [pulse oxygen partial pressure (64.18 ± 5.73) mmHg, arterial carbon dioxide partial pressure (45.48 ± 7.84) mmHg, blood oxygen saturation (96.13 ± 4.35)%] were better than those of the control group, （P<0.05）; The psychological condition of the research group (33.6 ± 2.1 points, 40.32 ± 4.43 points) was better than that of the control group, （P<0.05）; 3. The improvement of respiratory mechanical indicators in the study group, including airway resistance (9.12 ± 1.98) cmH2O/(L.s), respiratory work (0.34 ± 0.12) J/L, and dynamic compliance (35.25 ± 5.01) mL/cmH2O, was higher than that in the control group (P<0.05).
Conclusion   For patients with chronic obstructive pulmonary disease (COPD) complicated with acute respiratory failure and undergoing non-invasive positive pressure ventilation, bundle nursing has a significant therapeutic effect and is worthy of wide promotion and application.