The effect of comprehensive geriatric assessment combined with airway nursing management on the intervention of elderly patients with chronic obstructive pulmonary disease complicated with respiratory failure
老年综合评估联合气道护理管理对老年慢阻肺合并呼吸衰竭患者干预的效果

摘要

目的 探讨分析老年综合评估联合气道护理管理对老年慢阻肺合并呼吸衰竭患者干预的效果。方法选取本院2024年9月至2025年12月期间收治60例老年慢阻肺合并呼吸衰竭患者为研究对象，随机分为常规组和联合组，每组均30例。根据护理方案不同，常规组给予常规护理，联合组在常规护理基础上实施老年综合评估联合气道护理管理。并对比两组肺功能（第1秒用力呼气容积FEV₁、用力肺活量FVC）、血气分析（动脉血氧分压PaO₂、动脉血二氧化碳分压PaCO₂、血氧饱和度SaO₂）、生活质量（SF-36）以及并发症发生率。结果 联合干预后，联合组患者肺功能及血气分析相关指标改善更显著，生活质量显著提高，并发症发生率减少，均优质于常规组，差异具有统计学意义（P＜0.05）。结论 老年综合评估联合气道护理管理可显著改善老年慢阻肺合并呼吸衰竭患者的肺功能及血气状态，减少并发症，提高生活质量，具有临床推广和应用价值。

Abstract

Objective To explore and analyze the intervention effect of comprehensive geriatric assessment combined with airway nursing management on elderly patients with chronic obstructive pulmonary disease (COPD) complicated with respiratory failure.
Methods Sixty elderly patients with chronic obstructive pulmonary disease (COPD) complicated with respiratory failure admitted to our hospital from September 2024 to December 2025 were selected as the research subjects and randomly divided into the conventional group and the combined group, with 30 cases in each group. According to different nursing plans, the conventional group was given conventional care, while the combined group implemented comprehensive geriatric assessment combined with airway care management on the basis of conventional care. The pulmonary functions (forced expiratory volume in one second FEV₁, forced vital capacity FVC), blood gas analysis (arterial partial pressure of oxygen PaO₂, arterial partial pressure of carbon dioxide PaCO₂, blood oxygen saturation SaO₂), quality of life (SF-36), and the incidence of complications were compared between the two groups.
Results After the combined intervention, the lung function and blood gas analysis-related indicators of the patients in the combined group improved more significantly, the quality of life was significantly enhanced, and the incidence of complications was reduced. All of these were superior to those in the conventional group, and the differences were statistically significant (P<0.05).
Conclusion   Comprehensive geriatric assessment combined with airway nursing management can significantly improve the pulmonary function and blood gas status of elderly patients with chronic obstructive pulmonary disease (COPD) complicated with respiratory failure, reduce complications, and enhance the quality of life. It has clinical promotion and application value.