激励式护理干预对呼吸衰竭重症监护患者肺功能及心理状态的影响

目的 探讨在激励式护理干预的影响下，呼吸衰竭重症监护患者肺功能及心理状态的变化。方法 以我院2018年3月至2020年5月收治的80例呼吸衰竭重症监护患者为研究对象，随机分为对照组和观察组各40例。对照组使用常规护理干预，观察组使用激励式护理干预。两组患者干预时间均为30d。比较两组患者机械通气时间、ICU治疗时间、住院时间，比较两组患者干预前后FEV₁、FEV₁%、FEV₁/FVC水平及心理状态变化。结果 观察组患者机械通气时间、ICU治疗时间及总住院时间均短于对照组，与干预前相比干预后两组患者FEV₁、FEV₁%、FEV₁/FVC水平均升高，且观察组高于对照组(均P<0.05);护理后观察组的SAS、SDS评分均低于护理前，且低于对照组，差异显著(P<0.05)。结论 激励式护理干预可缓解呼吸衰竭重症监护患者紧张情绪，促进患者肺功能恢复，改善心理状态，效果显著。

Effect of incentive nursing intervention on pulmonary function,respiratory rate and heart rate of patients with respiratory failure in intensive care unit

Objective To explore the changes of pulmonary function,respiratory rate and heart rate in patients with respiratory failure in intensive care unit under the influence of incentive nursing intervention.Methods 80 cases of respiratory failure ICU patients in our hospital were randomly divided into control group and observation group,40 cases in each group from March 2018 to May 2020.The control group used routine nursing intervention,the observation group used incentive nursing intervention.The intervention time of the two groups was 30 days.The mechanical ventilation time,ICU treatment time and hospital stay of the two groups were compared;In addition,the levels of FEV1,FEV1%,FEV1/FVC and mental state of the two groups before and after intervention were compared.Results The mechanical ventilation time,ICU treatment time and total hospitalization time of the observation group were shorter than those of the control group.Compared with before intervention,FEV1,FEV1%,FEV1/FVC levels of the two groups were increased after intervention,and the observation group was higher than that of the control group(all P<0.05);After nursing,the SAS and SDS scores of the observation group were lower than those before nursing,and lower than those of the control group,the difference was significant(P<0.05).Conclusion Incentive nursing intervention can relieve the tension of patients with respiratory failure in ICU,promote the recovery of lung function and improve the psychological state of patients,with significant effect.