首页|人性化优质护理联合肺康复训练对ICU呼吸衰竭机械通气患者血气分析及APACHEⅡ评分的影响

人性化优质护理联合肺康复训练对ICU呼吸衰竭机械通气患者血气分析及APACHEⅡ评分的影响

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目的 探讨人性化优质护理联合肺康复训练对重症监护室(ICU)呼吸衰竭机械通气患者的影响.方法 选取2021 年10 月—2023 年 10 月武警安徽省总队医院ICU收治的 84 例呼吸衰竭机械通气患者为研究对象,按随机原则将其分为对照组和观察组,每组 42 例.对照组采用人性化优质护理,观察组在此基础上进行肺康复训练.对比两组患者的血气分析、急性生理与慢性健康状况评分(APACHEⅡ)及并发症发生率.结果 干预后,观察组的动脉氧分压、氧合指数均高于对照组,二氧化碳分压、APACHEⅡ评分均低于对照组,组间差异有统计学意义(P<0.05).观察组的并发症发生率为 4.76%,低于对照组的 19.05%,差异有统计学意义(P<0.05).结论 人性化优质护理联合肺康复训练能改善ICU呼吸衰竭机械通气患者的血气分析及健康状况,降低并发症发生率.
Effect of Humanized High-Quality Nursing Combined with Pulmonary Rehabilitation Training on Blood Gas Analysis and APACHEⅡScore of ICU Respiratory Failure Patients Undergoing Mechanical Ventilation
Objective To explore the effect of humanized high-quality nursing combined with pulmonary rehabilitation training on mechanical ventilation patients with respiratory failure in intensive care unit(ICU).Methods Eighty-four patients with mechanical ventilation for respiratory failure admitted to ICU of Anhui Provincial Armed Police Force Hospital from October 2021 to October 2023 were selected as research objects and were randomly divided into a control group and an observation group,with 42 cases in each group.The control group received humanized high-quality nursing,and the observation group received pulmonary rehabilitation training on this basis.The blood gas analysis indexes,Acute Physiology and Chronic Health Evaluation(APACHEⅡ)score and complication rate were compared between the two groups.Results After intervention,the arterial oxygen partial pressure and oxygenation index of the observation group were higher than those of the control group,and the carbon dioxide partial pressure and APACHEⅡ score were lower than those of the control group,the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 4.76%,lower than 19.05%in the control group,and the difference was statistically significant(P<0.05).ConclusionHumanized high-quality nursing combined with pulmonary rehabilitation training can improve the blood gas analysis indexes and health status of ICU patients with respiratory failure mechanical ventilation,and reduce the incidence of complications.

Respiratory failureMechanical ventilationHumanized high-quality nursingPulmonary rehabilitation trainingBlood gas analysisComplications

梁静、陈瑞

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武警安徽省总队医院重症医学科,安徽合肥 230000

武警安徽省总队医院呼吸内科,安徽合肥 230000

呼吸衰竭 机械通气 人性化优质护理 肺康复训练 血气分析 并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(8)
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