Observation on the effect of high quality nursing in non-invasive ventilation treatment of chronic obstructive pulmonary disease
优质护理在慢性阻塞性肺疾病无创通气治疗中的效果观察

摘要

目的 探讨优质护理在慢性阻塞性肺疾病(COPD)患者无创通气中的应用及效果。方法 将我科2020年～2021年两年收治的51例慢性阻塞性肺疾病(COPD)无创通气治疗患者随机分配为常规护理组和优质护理组,比较两组呼吸机耐受率、RICU住院时间、转长期家庭无创通气治疗率、生活质量［采用MOSSF-36简表］评分及并发症发生情况。结果 观察组呼吸机耐受率、通气功能改善率高于对照组(P＜0．05);RICU住院时间短于对照组(P＜0．01)；转长期家庭无创通气治疗率高于对照组(P＜0．05);观察组患者总体健康评分高于对照组(P＜0．05)[1];观察组谵妄、呼吸机相关肺炎、转（再）插管发生率低于对照组(P＜0．05)。结论 优质护理管理模式能够有效缩短COPD无创通气患者RICU住院时间，提高患者无创通气治疗依存性，提高生活质量，降低并发症发生率。

Abstract

Objective To explore the application and effect of high quality nursing in noninvasive ventilation of patients with chronic obstructive pulmonary disease (COPD).
Methods: a total of 51 patients with chronic obstructive pulmonary disease (COPD) treated by non-invasive ventilation in our department from 2020 to 2021 were randomly assigned to the conventional nursing group and the quality nursing group, and the ventilator tolerance rate, RICU length of stay, transfer rate to long-term home non-invasive ventilation treatment and quality of life of the two groups were compared [MOS SF-36 brief table was used ] score and incidence of complications.
Results: The ventilator tolerance rate and ventilation function improvement rate in the observation group were higher than those in the control group (P < 0. 05); The length of hospitalization of RICU was shorter than that of the control group (P < 0. 01); The rate of long-term home non-invasive ventilation treatment was higher than that of control group (P < 0. 05); The overall health score of observation group was higher than that of control group (P < 0. 05) [1]; The incidence of delirium, ventilator-associated pneumonia and reintubation in the observation group was lower than that in the control group (P < 0. 05).
Conclusion  : The quality nursing management model can effectively shorten the RICU hospital stay in COPD patients with non-invasive ventilation, improve the treatment dependence of patients with non-invasive ventilation, improve the quality of life, and reduce the incidence of complications.