首页|专案定制延续护理在OSAHS无创机械通气治疗患者中的应用效果

专案定制延续护理在OSAHS无创机械通气治疗患者中的应用效果

扫码查看
目的 探讨专案定制延续护理在阻塞性睡眠呼吸暂停低通气综合征(OSAHS)无创机械通气治疗患者中的应用效果,评价其对自理能力、生活质量的影响.方法 选择2019年1月-2022年12月医院收治的100例OSAHS无创机械通气治疗患者为研究对象,按照组间基线资料具有可比性的原则将其分为对照组和观察组,每组50例.对照组予以常规延续护理,观察组采用专案定制延续护理,首先组建专案定制延续护理小组,对小组成员进行同质化培训,确保所有成员通过护理知识及技能考核,由小组成员对患者进行出院时、出院初期、出院中后期的延续护理.观察两组患者持续气道正压通气(CPAP)呼吸机使用情况,采用自我护理能力测定量表(ESCA)、成人用阻塞性睡眠呼吸暂停低通气综合征患者生命质量(QOL-OSAHS)量表分别评估患者的自护能力和生活质量.结果 观察组患者CPAP总使用天数、CPAP每日使用时间均长于对照组,呼吸机使用时长>4 h的天数多于对照组,差异具有统计学意义(P<0.05);干预后,观察组患者ESCA、QOL-OSAHS量表各维度评分均高于对照组,差异具有统计学意义(P<0.05).结论 专案定制延续护理能够改善OSAHS患者CPAP呼吸机使用情况,并可改善患者自护能力,缓解心理上的焦虑、担忧等,促进患者生活质量提高.
Application effect of customized continuous nursing in OSAHS patients treated with non-invasive mechanical ventilation
Objective To explore the application effect of customized continuous nursing in obstructive sleep apnea hypopnea syndrome(OSAHS)patients treated with non-invasive mechanical ventilation,and to evaluate its impact on self-care ability and quality of life.Methods We selected 100 OSAHS non-invasive mechanical ventilation patients admitted to the hospital from January 2019 to December 2022 as the research subjects,and divided them into a control group and an observation group based on the principle of comparability of baseline data between groups,with 50 cases in each group.The control group received routine extended care,while the observation group received customized extended care.Firstly,a project-specific customized continuing care team was formed to provide homogeneous training to the team members to ensure that all members pass the nursing knowledge and skills assessment.The team members would provide continuous care to the patient at the time of discharge,early stage of discharge,and during and after discharge.The continuous positive airway pressure(CPAP)ventilator usage of the two groups of patients was observed,and the exercise of self-care agency scale(ESCA)and OSAHS patients'quality of life(QOL-OSAHS)scale for adults were used to evaluate the patients'self-care ability and quality of life respectively.Results The total days of CPAP use and daily CPAP use time of patients in the observation group were longer than those of the control group,and the number of days when the ventilator was used for>4 hours was greater than that of the control group,and the differences were statistically significant(P<0.05).After intervention,the each dimension scores of ESCA and QOL-OSAHS scale in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Customized continuous nursing can improve the usage of CPAP ventilator in OSAHS patients,improve patients'self-care ability,relieve psychological anxiety and worries,and promote the improvement of patients'quality of life.

Continuous nursingObstructive sleep apnea hypopnea syndromeNon-invasive mechanical ventilationSelf-care abilityQuality of life

刘奇玉、周嘉诚、戴晴霞、宣姣、徐媛

展开 >

南京医科大学附属无锡人民医院全科医学科(江苏省无锡市,214000)

延续护理 阻塞性睡眠呼吸暂停低通气综合征 无创机械通气 自护能力 生活质量

无锡市科学技术协会2023年软科学研究课题

KX-23-C021

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(3)
  • 30