Objective To investigate the application effect of motivational and refined nursing in patients with acute exacerbation of chronic obstructive pulmonary disease(COPD)and respiratory failure.Methods Ninety patients with acute exacerbation of COPD and respiratory failure treated at the Affiliated Hospital of Xuzhou Medical University from January 2022 to August 2023 were included in the study.By using the random number method,they were divided into an observation group and a control group,with 45 cases in each group.The control group received routine nursing,while the observation group received motivational and refined nursing.Both groups were given continuous nursing for 2 weeks.The arterial blood gas analysis related parameters(arterial partial pressure of carbon dioxide[PaCO2],arterial oxygen saturation[SaO2],arterial partial pressure of oxygen[PaO2],and pH),Herth Hope Index(HHI)score,Connor-Davidson Resilience Scale(CD-RISC)score,recovery status,and nursing satisfaction were compared between the two groups.Results After 1 and 2 weeks of nursing,the PaO2,pH,SaO2,HHI score,and CD-RISC score of both groups were higher than those before nursing,and the PaCO2 was lower than that before nursing.Moreover,the above parameters and scores were better after 2 weeks of nursing compared with those after 1 week of nursing.The above parameters and scores in the observation group were better than those in the control group after 1 and 2 weeks of nursing.There were statistically significant differences(all P＜0.05).Compared with the control group,the observation group had shorter intensive care unit(ICU)length of stay and mechanical ventilation time,and a higher overall nursing satisfaction rate(all P＜0.05).There was no statistically significant difference in the 28-day mortality rate between the two groups(P＞0.05).Conclusion The motivational and refined nursing can effectively improve the arterial blood gas analysis related parameters of patients with acute exacerbation of COPD and respiratory failure,enhance their hope level and psychological resilience,and shorten the treatment time,with high nursing satisfaction.
关键词
慢性阻塞性肺疾病/呼吸衰竭/激励性护理/精细化护理/动脉血气分析
Key words
chronic obstructive pulmonary disease/respiratory failure/motivational nursing/refined nursing/arterial blood gas analysis
维普
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