专职护理干预对重症COPD合并呼吸衰竭患者临床症状及满意度的影响

目的 探讨专职护理干预对重症慢性阻塞性肺疾病(COPD)合并呼吸衰竭患者临床症状及满意度的影响。方法 选择本院于2017年6月—2018年6月治疗重症COPD合并呼吸衰竭患者90例作为研究对象,随机分为观察组和对照组,各45例。对照组采用常规护理治疗,在对照组基础上,观察组实施专职护理干预,比较2组患者临床疗效、护理满意度及临床症状持续时间。结果 干预后,观察组机械通气时间、ICU时间、平均住院时间、憋喘、发热、肺部啰音持续时间分别为(5.14±0.79)d、(2.31±0.51)d、(10.29±1.41)d、(4.68±1.79)d、(2.27±1.21)d、(8.46±1.54)d,均短于对照组的(8.57±1.12)d、(3.23±0.45)d、(13.67±1.58)d、(7.67±2.12)d、(4.23±1.41)d、(11.26±1.78)d,差异有统计学意义(P<0.01),观察组护理满意度较对照组高(93.33% VS 75.56%),差异有统计学意义(P<0.05)。结论 采用专职护理干预治疗重症COPD合并呼吸衰竭患者可提升患者临床疗效,缩短临床症状缓解时间,提高患者护理满意度。

Effect of full-time nursing intervention on clinical symptoms and satisfaction of patients with severe COPD complicated with respiratory failure

Objective To explore the effect of full-time nursing intervention on the clinical symptoms and satisfaction of patients with severe chronic obstructive pulmonary disease (COPD) and respiratory failure. Methods A total of 90 patients with severe COPD and respiratory failure treated in a hospital from June 2017 to June 2018 were randomly divided into a trial group and a control group, with 45 cases in each group. The control group was treated with the routine nursing, and the trial group was given the full-time nursing intervention on the basis of the control group. The clinical efficacy, nursing satisfaction and the duration of clinical symptoms were investigated and compared between the two groups. Results After the intervention, in the trial group, the average time of duration of mechanical ventilation, the average time in ICU, the average hospitalization, the average time of duration of suffocation, fever, and lung rales in the trial group were (5.14±0.79) d, (2.31±0.51) d, (10.29±1.41) d, (4.68±1.79) d, (2.27±1.21) d, and (8.46±1.54) d respectively, which were shorter than those in the control group , and the differences were statistically significant (all P<0.01). The nursing satisfaction in the trial group was higher than that in the control group (93.33% vs. 75.56%), and the difference was statistically significant (P<0.05). Conclusion The full-time nursing intervention can improve the clinical effect, shorten the time of clinical symptom relief, and improve the patients' nursing satisfaction.