Application of Fine Nursing in Patients with Acute Exacerbation of COPD Combined with Respiratory Failure
Objective:To investigate the effect of fine nursing in acute exacerbation of chronic obstructive pulmonary disease(AECOPD)complicated with respiratory failure(RF).Method:A total of 182 patients with AECOPD combined with RF admitted to RICU,Hebei Petro China Central Hospital from March 2021 to March 2023 were selected as subjects,and were divided into conventional group and observation group according to the random number table method,with 91 cases in each group.The conventional group was given routine care,and the observation group was given fine nursing.Arterial blood gas analysis indexes[arterial oxygen partial pressure(PaO2),oxygen saturation(SaO2),arterial carbon dioxide partial pressure(PaCO2)],respiratory function[forced expiratory volume in the first second(FEV1),the percentage of forced expiratory volume to forced vital capacity in the first second(FEV1/FVC%)],clinical indexes,negative emotional state and nursing satisfaction were compared between the two groups before and after care.Result:There were no statistically significant differences in arterial blood gas analysis indexes between the two groups before nursing(P>0.05).After nursing,the levels of PaO2 and SaO2 in the observation group were higher than those in conventional group,and the level of PaCO2 was lower than that in conventional group,with statistical significance(P<0.05).There were no significant differences in respiratory function between the two groups before nursing(P>0.05).After nursing,the levels of FEV1 and FEV1/FVC%in the observation group were higher than those in conventional group,the differences were statistically significant(P<0.05).The incidence of invasive mechanical ventilation in observation group was lower than that in conventional group,the length of hospital stay was shorter than that of conventional group,and the incidence of complications was lower than that of conventional group,with statistical significance(P<0.05).There were no significant differences in subscale scores of anxiety and depression between the two groups before nursing(P>0.05),while subscale scores of anxiety and depression in the observation group were lower than those in conventional group after nursing,the differences were statistically significant(P<0.05).The nursing satisfaction of observation group was higher than that of conventional group,the difference was statistically significant(P<0.05).Conclusion:The application of fine nursing in patients with AECOPD combine with RF can improve arterial blood gas indexes,respiratory function,shorten hospital stay,reduce the incidence of complications,improve negative emotional state,and patients have a high degree of satisfaction with nursing services.
Chronic obstructive pulmonary diseaseAcute exacerbation stageRespiratory failureFine nursingRespiratory function
万方数据
维普
