延续性护理在无创呼吸机治疗慢性阻塞性肺疾病合并Ⅱ型呼吸衰竭患者中的应用

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

程艳¹ 

关键词: 延续性护理;    无创呼吸机;    慢性阻塞性肺疾病;    Ⅱ型呼吸衰竭;   

DOI  :  10.11997/nitcwm.2017010013

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the effects of continuing nursing intervention for chronic obstructive pulmonary disease(COPD)patients with type II respiratory failure receiving non-invasive ventilation treatment. Methods 〓Totally 50 COPD patients with type II respiratory failure were randomly divided into the control group and intervention group, with 25 cases in each group. Both groups received non-invasive ventilation treatment and routine care. Patients in the control group were given regular health education before discharge, and those in the intervention group were given continuing nursing intervention after discharge. The partial pressure of carbon dioxide(PaCO2), COPD Assessment Test(CAT), and the readmission rate were compared between two groups. Results 〓The Patients in the intervention group had a lower PaCO2 and CAT compared with those in the control group after intervention(P<0.05). The readmission rate was 4.0%(1/25)in the intervention group and was 16.0%(4/25)in the control group, but with no significant difference(P>0.05). Conclusion 〓Continuous nursing intervention is potentially effective to control the level of PaCO2 and slow disease progression in patients with COPD and type II respiratory failure after discharge.

【 授权许可】

CC BY-NC