首页|零缺陷护理对肺纤维化合并肺部感染及呼吸衰竭患者肺功能的影响观察

零缺陷护理对肺纤维化合并肺部感染及呼吸衰竭患者肺功能的影响观察

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目的 分析零缺陷护理对肺纤维化合并肺部感染及呼吸衰竭患者肺功能的影响。方法 选取2019年1月至2022年6月于厦门大学附属中山医院治疗的肺纤维化合并肺部感染及呼吸衰竭患者60例为研究对象,按随机数表法分为对照组(常规护理,n=30)和试验组(零缺陷护理,n=30);比较两组肺功能[第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、最大呼气峰值流速(PEF)]、血气指标[动脉二氧化碳分压(PaCO2)、动脉血氧分压(PaO2)、血氧饱和度(SaO2)]、生活质量(呼吸困难症状、活动受限程度、对日常生活的影响)、护理效果。结果 干预后,试验组FEV1、FVC、PEF水平高于对照组,PaCO2低于对照组,PaO2、SaO2高于对照组,生活质量评分低于对照组,护理总有效率高于对照组,差异均有统计学意义(P<0。05)。结论 肺纤维化合并肺部感染及呼吸衰竭患者,采用零缺陷护理可同步改善肺功能及血气指标,提升生活质量及护理效果。
Observation on the impact of zero defect nursing on pulmonary function of patients with pulmonary fibrosis complicated with pulmonary infection and respiratory failure
Objective To analyze the impact of zero defect nursing on the pulmonary function of patients with pulmonary fibrosis complicated with pulmonary infection and respiratory failure.Methods A total of 60 patients with pulmonary fibrosis complicated with pulmonary infection and respiratory failure who were treated in Zhongshan Hospital Affiliated to Xiamen University from January 2019 to June 2022 were extracted and divided into the control group(conventional nursing,n=30)and the experimental group(zero defect nursing,n=30)according to the random number table method.The pulmonary function(forced expiratory volume in one second[FEV1],forced vital capacity[FVC],peak expiratory flow rate[PEF]),blood gas indices(partial pressure of carbon dioxide in arterial blood[PaCO2],(partial pressure of oxygen in arterial blood[PaO2],saturation of oxygen in arterial blood[SaO2]),quality of life(QoL)(dyspnea symptoms,activity limitation,influence on daily life)and nursing efficacy were compared between the two groups.Results After the intervention,the levels of FEV1,FVC,and PEF in the experimental group were higher than those in the control group,PaCO2 was lower than that in the control group,PaO2 and SaO2 were higher than those in the control group,and the scores of QoL was lower than those in the control group,the total effective rate of nursing was higher than that in the control group,with statistically significant differences(P<0.05).Conclusion In patients with pulmonary fibrosis complicated with pulmonary infection and respiratory failure,zero defect nursing can improve pulmonary function and blood gas index simultaneously,and improve the QoL and nursing efficacy.

Pulmonary fibrosisPulmonary infectionRespiratory failurePulmonary functionBlood gas index

巫美云、陈晓萍、林霖琴、张孝斌

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厦门大学附属中山医院风湿免疫科,福建厦门 361001

厦门大学附属中山医院呼吸与危重症医学科,福建厦门 361001

肺纤维化 肺部感染 呼吸衰竭 肺功能 血气指标

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(21)