摘要
目的 探讨冰山理论下全方位气道护理在呼吸衰竭患者中的应用价值.方法 选取南阳市第一人民医院2020年3月至2021年8月就诊的呼吸衰竭患者118例,根据护理方法分为研究组(59例)和对照组(59例).对照组接受常规护理干预,研究组在对照组基础上接受冰山理论下全方位气道护理.比较两组康复相关指标、肺功能[肺总量(TLC)、用力肺活量(FVC)、第1秒最大呼吸容积(FEV1)]、护理依从性、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、并发症.结果 研究组人机协调时间、机械通气时间、出院时间短于对照组(P＜0.05);干预后研究组FEV1、FVC、TLC高于对照组(P＜0.05);干预后研究组SAS、SDS评分低于对照组(P＜0.05);干预后研究组总依从率高于对照组,并发症总发生率低于对照组(P＜0.05).结论 冰山理论下全方位气道护理可提升呼吸衰竭患者肺功能,减轻负性情绪,提升依从性,预防并发症发生,促进患者病情康复.
Abstract
Objective To explore the application value of all-round airway care under iceberg theory in patients with respiratory failure.Methods A total of 118 patients with respiratory failure treated in Nanyang First People's Hospital from March 2020 to August 2021 were selected and divided into study group(59 cases)and control group(59 cases)according to different nursing methods.The control group was given conventional nursing interventions,and the study group was given comprehensive airway care under the iceberg theory on the basis of the control group,comparing the rehabilitation-related indexes,pulmonary function[total lung capacity(TLC),forced vital capacity(FVC),forced expiratory volume in one second(FEV1)],nursing compliance,negative emotions[anxiety self-assessment scale(SAS),depression self-assessment scale(SDS)],and complications between the two groups.Results The study group had shorter human-machine coordination time,mechanical ventilation time,and discharge time compared to the control group(P＜0.05).After intervention,the FEV1,FVC,and TLC in the study group were higher than those in the control group(P＜0.05).After intervention,the SAS and SDS scores of the study group were lower than those of the control group(P＜0.05).After intervention,the total compliance rate of the study group was higher than that of the control group,and the total incidence of complications was lower than that of the control group(P＜0.05).Conclusion Under the iceberg theory,all-round airway nursing can improve the lung function of patients with Respiratory failure,reduce negative emotions,improve compliance,prevent complications,and promote the recovery of patients.
基金项目
南阳市2021年市级科技计划项目(KJGG008)
NETL
NSTL
万方数据