手语表达法训练对无创正压通气治疗慢性阻塞性肺疾病急性加重期的成效

目的 探讨手语表达法训练对应用无创正压通气治疗慢性阻塞性肺疾病急性加重期并Ⅱ型呼吸衰竭的影响.方法 将82例患者分为干预组和对照组各41例.对照组采用常规护理,干预组在常规护理的基础上对患者实施基本手语表达法训练的护理干预.结果 干预组患者人院时动脉血氧分压,动脉血二氧化碳分压与对照组比较差异无统计学意义(P＞0.05);上机24h后干预组动脉血二氧化碳分压下降明显高于对照组(P＜0.01);干预组主动配合程度高,人机依从性好,有2例放弃治疗,对照组有9例,耐受率高于对照组.结论 上机前实施护理干预在保障无创正压通气疗效中发挥重要的作用,提高了患者治疗的依从性,使患者有效地配合治疗.

The effect of sign language expressions training on noninvasive positive pressure ventilation in chronic obstructive pulmonary disease with acute exacerbation

Objective To investigate the effect of sign language expressions training on noninvasive positive pressure ventilation in chronic obstructive pulmonary disease with acute exacerbation.Methods A total of 82 patients were divided into intervention group and control group.The patients in control group were treated with conventional care,the patients in intervention group were treated with nursing intervention of sign language expressions on the basis of routine care.Results Being on the machine 24 hours,arterial carbon dioxide partial pressure in intervention group were significantly better than that in control group (P ＜0.01 ) ; the patients in intervention group could cooperate actively,had good man- machine compliance.Two patients finally gave up medical treatment in intervention group while 9 patients in control group.Condusions Implementation of nursing intervention before machine plays a very important role in efficacy of noninvasive positive pressure ventilation,meanwhile it can enhance patient's compliance to treatment,so that patients could have an effective treatment.