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精细化护理辅助无创通气对AECOPD患者病情恢复及护理满意度的影响

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目的:探究精细化护理辅助无创通气对慢性阻塞性肺疾病急性加重期(AECOPD)患者病情恢复及护理满意度的影响。方法:选择 2022 年 3 月—2023 年 3 月莆田市第一医院收治的 60 例AECOPD患者作为研究对象,采用随机数表法将患者分为对照组和观察组,各 30 例。对照组给予常规护理,观察组在对照组基础上给予精细化护理辅助无创通气,两组均连续干预 8 周。比较两组干预前、干预 4 周后、干预 8 周后改良英国医学研究委员会呼吸困难量表(mMRC)、慢性呼吸系统早期预警评分(CREWS)、改良版Barthel指数(MBI)及护理满意度评分变化情况。结果:干预 4 周后,两组mMRC评分、CREWS评分低于干预前,干预 8 周后,两组mMRC评分、CREWS评分低于干预前和干预 4 周后,且观察组低于对照组,差异有统计学意义(P<0。05)。干预 4 周后,两组MBI评分高于干预前,干预 8 周后,两组MBI评分高于干预前和干预4 周后,且观察组高于对照组,差异有统计学意义(P<0。05)。观察组干预 8 周后护理总满意度高于对照组,但差异无统计学意义(P>0。05)。结论:精细化护理辅助无创通气对改善AECOPD患者呼吸困难程度、促进病情恢复、提高日常生活能力、提升护理满意度有积极意义。
Effect of Refined Nursing Assisted Non-invasive Ventilation on the Recovery and Nursing Satisfaction of AECOPD Patients
Objective:To explore the effect of refined nursing assisted non-invasive ventilation on the recovery and nursing satisfaction of acute exacerbation of chronic obstructive pulmonary disease(AECOPD)patients.Method:Sixty AECOPD patients who treated in Putian First Hospital from March 2022 to March 2023 were selected as the study objects,and they were randomly divided into the control group and the observation group using the random number table method.The control group was given routine care,while the observation group was given refined nursing assisted non-invasive ventilation,two groups were intervened continuously for 8 weeks.The two groups were compared in terms of the modified British Medical Research Council respiratory difficulty scale(mMRC),chronic respiratory early warning score(CREWS)and modified Barthel index(MBI)and nursing satisfaction scores of two groups before intervention,after 4 weeks of intervention and after 8 weeks of intervention were compared.Result:After 4 weeks of intervention,the mMRC scores and CREWS scores of two groups were lower than those before intervention,after 8 weeks of intervention,the mMRC scores and CREWS scores of two groups were lower than those before intervention and after 4 weeks of intervention,and which in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After 4 weeks of intervention,the MBI scores of two groups were higher than those before intervention,after 8 weeks of intervention,the MBI scores of two groups were higher than those before intervention and after 4 weeks of intervention,and which in the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).The total nursing satisfaction of the observation group after 8 weeks of intervention was higher than that of the control group,but the difference was not statistically significant(P>0.05).Conclusion:Fine nursing assisted non-invasive ventilation is beneficial for improving the degree of respiratory difficulty,promoting recovery,improving daily living ability and enhancing nursing satisfaction in AECOPD patients.

Refined nursingNon invasive ventilationAcute exacerbation of chronic obstructive pulmonary diseaseRecovery of illnessNursing satisfaction

陈娟、陈素云、陈丽娟、黄洪碧、陈丽芬、卢进琼、林碧清、李桂香

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莆田市第一医院 福建 莆田 351254

精细化护理 无创通气 慢性阻塞性肺疾病急性加重期 病情恢复 护理满意度

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(10)
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