Evaluation of the effect of nursing intervention on non-invasive positive pressure ventilation in the treatment of COPD patients with respiratory failure
无创正压通气治疗COPD合并呼吸衰竭患者应用护理干预的效果评价

摘要

目的 探究COPD合并呼吸衰竭患者在接受无创正压通气治疗时采取护理干预的效果。方法 选取本院2021年1月-2021年12月期间呼吸内科所收治的COPD合并呼吸衰竭的患者，用随机数法平均分组，对照组（常规护理）和观察组（护理干预）数量均匀，比较护理效果。结果 治疗前后两组的酸碱度以及治疗前的氧分压和二氧化碳分压指标数值无明显差异（P>0.05），治疗3天后观察组的氧分压高于对照组（P<0.05），二氧化碳分压低于对照组（P<0.05）。观察组中耐受好的患者数量多于对照组（P<0.05），耐受差患者数量少于对照组（P<0.05），两组中耐受一般的患者数量无明显差异（P>0.05）。结论 COPD合并呼吸衰竭患者在接受无创正压通气治疗期间应用护理干预可以促进患者治疗耐受性的增加，从而提升治疗的效果，进一步改善血气分析指标，促使疗效发挥最大化，应用价值高。

Abstract

Objective To explore the effect of nursing intervention in patients with COPD complicated with respiratory failure receiving non-invasive positive pressure ventilation.
Methods Patients with COPD and respiratory failure who were admitted to the Department of Respiratory Medicine in our hospital from January 2021 to December 2021 were selected and divided into groups by random number method.
Results There was no significant difference in the pH value of the two groups before and after treatment, as well as the values of partial pressure of oxygen and partial pressure of carbon dioxide before treatment (P>0.05). After 3 days of treatment, the partial pressure of oxygen in the observation group was higher than that in the control group (P<0.05), and the partial pressure of carbon dioxide was lower. in the control group (P<0.05). The number of patients with good tolerance in the observation group was more than that in the control group (P<0.05), the number of patients with poor tolerance was less than that in the control group (P<0.05), and there was no significant difference in the number of patients with general tolerance between the two groups (P>0.05).
Conclusion   In COPD patients with respiratory failure, the application of nursing intervention during the non-invasive positive pressure ventilation treatment can promote the increase of the patient's treatment tolerance, thereby improving the treatment effect, further improving the blood gas analysis indicators, maximizing the curative effect, and having high application value.