首页|督导式预警性护理模式对Ⅱ型呼吸衰竭患者的作用效果

督导式预警性护理模式对Ⅱ型呼吸衰竭患者的作用效果

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目的 探讨督导式预警性护理模式在Ⅱ型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2022年1月至2023年3月就诊的136例Ⅱ型呼吸衰竭患者,根据护理方法分为研究组(68例)和常规组(68例).常规组接受常规护理干预,研究组在常规组基础上联合督导式预警性护理模式,比较两组血气指标[动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)]、肺功能[第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、最大通气量(MVV)]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、睡眠质量[匹兹堡睡眠质量量表(PSQI)]、运动恐惧[恐动坦帕评分(TSK)]、并发症发生率.结果 干预后研究组PaO.、FEV1、FVC、MVV高于常规组,研究组PaCO2低于常规组(P<0.05);干预后研究组SAS、TSK、SDS、PSQI评分低于常规组(P<0.05);研究组并发症总发生率低于常规组(P<0.05).结论 督导式预警性护理模式可减轻Ⅱ型呼吸衰竭患者运动恐惧、负性情绪,改善患者血气指标、肺功能,提升患者睡眠质量,降低并发症发生率.
Effects of Supervisory and Early Warning Nursing Mode in Patients with Type 2 Respiratory Failure
Objective To explore the application value of supervisory early warning nursing mode in patients with type 2 respiratory failure.Methods A total of 136 patients with type 2 respiratory failure treated in Nanyang First People's Hospital from January 2022 to March 2023 were selected and divided into study group(68 cases)and routine group(68 cases)according to different nursing methods.The routine group adopted the routine nursing intervention,and the study group adopted the joint supervisory early warning nursing mode on the basis of the routine group.Blood gas indexes[partial pressure of oxygen in arterial blood(PaO2),partial pressure of carbon dioxide in arterial blood(PaCO2)],pulmonary function[forced expiratory volume in one second(FEV1),forced vital capacity(FVC),maximal voluntary ventilation(MVV)],negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],sleep quality[Pittsburgh sleep quality index(PSQI)],exercise fear[Tampa scale for kinesiophobia(TSK)],complication rate were compared between the two groups.Results PaO2,FEV1,FVC and MVV in the study group after the intervention were higher than those in the routine group,and PaCO2 in the study group was lower than that in the routine group(P<0.05).SAS,TSK,SDS and PSQI scores in the study group after the intervention were lower than the routine group(P<0.05).And the overall rate of complications in the study group was lower than that in the routine group(P<0.05).Conclusion Supervised early warning nursing mode can alleviate exercise fear and negative emotion in patients with type 2 respiratory failure,improve blood gas index,lung function,improve sleep quality and reduce the incidence of complications.

supervisory early warning nursingtype 2 respiratory failurefear of movementblood gas indexlung function

曲柳、贾伟伟、强珂皎

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南阳市第一人民医院呼吸与危重症医学一科,河南南阳 473000

督导式预警性护理 Ⅱ型呼吸衰竭 运动恐惧 血气指标 肺功能

南阳市市级科技计划(2021)

KJGG010

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(8)
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