Refined nursing based on three-dimensional space model for patients with AECOPD and respiratory failure
Objective To explore the effect of refined nursing based on the three-dimensional space model for patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)and respiratory failure.Methods Ninety-eight patients with AECOPD and respiratory failure admitted to Wuxi Second People's Hospital from August 2020 to March 2022 were selected for the randomized controlled trial,and were divided into an observation group and a control group by the random number table method,with 49 cases in each group.There were 31 males and 18 females in the control group;they were 51-79(64.56±8.15)years old.There were 29 males and 20 females in the observation group;they were 53-80(66.23±7.36)years old.The control group took routine care;in addition,the observation group took refined nursing based on the three-dimensional space model.The self-care abilities,arterial blood gas indicators,pulmonary function indicators,quality of life before and after the nursing and the incidences of complications were compared between the two groups.t and x2 tests were applied.Results After the nursing,the scores of self-nursing skills,health knowledge,self-concept,and self-care responsibility were higher than those before the control group;the scores in the observation group were higher than those in the control group[(40.92±10.23)vs.(33.56±8.39),(49.83±12.21)vs.(39.62±9.91),(32.96±8.24)vs.(23.49±5.87),and(28.76±7.19)vs.(22.26±5.57)],with statistical differences(t=3.89,4.55,6.55,and 5.00;all P＜0.05).After the nursing,the oxygen saturation(SaO2),arterial oxygen partial pressure(PaO2),percentage of forced vital capacity(FVC％),percentage of forced expiratory volume in the first second to the expected value(FEV1％),and the percentage of forced expiratory volume in the first second to the forced vital capacity(FEV1/FVC％)were higher than those before the nursing in both groups(all P＜0.05);the SaO2,PaO2,FVC％,FEV1％,FEV1/FVC％,and partial pressure of carbon dioxide(PaCO2)in the observation group were better than those in the control group[(96.86±24.22)％vs.(84.12±21.03)％,(88.79±22.19)mmHg(1 mmHg=0.133 kPa)vs.(73.21±18.30)mmHg,(2.63±0.66)％vs.(2.29±0.57)％,(1.46±0.37)％vs.(1.28± 0.32)％,(0.67±0.17)％vs.(0.58±0.15)％,and(46.58±11.65)mmHg vs.(58.67±4.67)mmHg],with statistical differences(t=2.78,3.78,2.73,2.58,2.78,and 4.52;all P＜0.05).After the nursing,the scores of disease effect and symptom and the total score of St.George's Respiratory Questionnaire(SGRQ)were lower and the score of activity ability was higher than those before the nursing in both groups;the scores in the observation group were better than those in the control group[(20.74± 4.15)vs.(29.46±5.89),(37.86±7.57)vs.(49.58±9.92),(29.56±7.39)vs.(38.76±9.69),and(62.85± 12.57)vs.(52.32±10.46)],with statistical differences(t=8.47,6.58,6.61,and 4.51;all P＜0.05).The total incidence of complications in the observation group was lower than that in the control group[6.12％(3/49)vs.24.49％(12/49)],with a statistical difference(x2=5.04;P＜0.05).Conclusion Refined nursing based on the three-dimensional space model for patients with AECOPD and respiratory failure is conducive to improving their lung ventilation function,self-care ability,and quality of life and reducing the incidence of complications,so it is worthy of clinical promotion.
Acute exacerbation of chronic obstructive pulmonary diseaseRespiratory failureThree dimensional space modelRefined nursing
万方数据
维普
