Effect of personalized nursing on non-invasive ventilator in the treatment of chronic obstructive pulmonary disease complicated with severe respiratory failure and the incidence of adverse reactions
个性化护理对无创呼吸机治疗慢性阻塞性肺疾病合并重症呼吸衰竭的效果及不良反应发生率分析

摘要

目的 探讨发生慢性阻塞性肺疾病的同时发生重症呼吸衰竭在接受无创呼吸机治疗的过程中实施个性化护理的效果。方法 选取2020年10月-2021年10月本院接收的70例慢性阻塞性肺疾病合并重症呼吸衰竭患者进行研究，经随机数字表法分组。对照组（35例），观察组（35例），分析两组血气指标、肺功能指标、治疗效果、不良反应。结果 干预后，观察组的SaO2、PaO2、PH分别为（93.51±5.85）%、（84.51±7.31）mmHg、（7.70±0.21），较对照组的（86.39±5.18）%、（70.54±6.10）mmHg、（7.41±0.20）高，PaCO2为（37.81±4.23）mmHg，较对照组的（42.10±5.44）mmHg低（P＜0.05）；观察组的FVC、FEV1、6MWD、PEF分别为（3.19±0.68）L、（1.66±0.38）L、（415.58±36.56）m、（4.03±0.62）L/s，均高于对照组的（2.56±0.62）L、（1.37±0.34）L、（330.34±31.29）m、（3.95±0.59）L/s，CAT评分为（14.24±1.35）分，低于对照组的（19.79±1.68）分（P＜0.05）；在治疗总有效率对比方面，观察组显著较高，在不良反应发生率方面，观察组显著较低（P＜0.05）。结论 对已确诊为慢性阻塞性肺疾病同时患有重症呼吸衰竭的患者而言，在接受无创呼吸机治疗的过程中配合个性化护理干预，有助于其肺部功能的恢复，同时可改善其血气指标，增强疗效，减少不良反应的发生。

Abstract

Objective To explore the effect of implementing personalized care in the process of receiving non- invasive ventilator treatment.
Methods 70 patients with chronic obstructive pulmonary disease combined with severe respiratory failure received from October 2020 to October 2021 were selected and grouped by randomized digital table. In the control group (35 cases) and the observation group (35 cases), the blood gas index, lung function index, treatment effect and adverse reactions were analyzed.
Results After the intervention, The SaO2, PaO2, and PH were (93.51±5.85)%, (84.51±7.31) mmHg, (7.70±0.21), respectively, Higher than the (86.39±5.18)%, (70.54±6.10) mmHg, (7.41±0.20) of the control group, PaCO2 is (37.81±4.23) mmHg, Lower than the mmHg of the control group (42.10±5.44) (P＜0.05）.
Conclusion   For patients with confirmed chronic obstructive pulmonary disease and severe respiratory failure, the personalized nursing intervention during receiving non-invasive ventilator treatment can contribute to the recovery of lung function, improve their blood and gas index, enhance the efficacy, and reduce the occurrence of adverse reactions.