Application value of comfort nursing in treating respiratory failure patients with invasive mechanical ventilation in ICU
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摘要:目的 探讨舒适护理在ICU呼吸衰竭有创机械通气患者中的应用价值。方法 将本院ICU病房收治的100例呼吸衰竭有创机械通气患者随机分为对照组与观察组，每组50例。对照组接受常规护理，观察组接受舒适护理。比较2组患者呼吸功能(肺活量、用力呼气量、气道峰压以及潮气量)、护理配合度、满意度及并发症发生率。结果 观察组护理后平均用力呼气量、肺活量、潮气量均显著高于对照组，气道峰压显著低于对照组(P < 0.05)。观察组护理配合度及满意度均显著高于对照组，并发症发生率显著低于对照组(P < 0.05)。结论 舒适护理可显著提高ICU呼吸衰竭有创机械通气患者康复效果，促进呼吸功能恢复，并降低并发症发生率。Abstract:Objective To explore the application value of comfort nursing in treating respiratory failure patients with invasive mechanical ventilation in ICU.Methods Totally 100 respiratory failure patients with invasive mechanical ventilation in ICU were randomly divided into control group and observation group, 50 cases in each group. The control group received routine nursing, while the observation group received comfort nursing. Respiratory function indexes (vital capacity, forced expiratory volume, peak airway pressure and tidal volume), nursing coordination degree, satisfaction degree and incidence rate of complications were compared between the two groups.Results After nursing, the average forced expiratory volume, vital capacity and tidal volume of the observation group were significantly higher than those of the control group, and peak airway pressure was significantly lower than that of the control group (P < 0.05). The nursing cooperation degree and satisfaction degree of the observation group were significantly higher than those of the control group, and the incidence rate of complications was significantly lower than that of the control group (P < 0.05).Conclusion Comfort nursing can significantly improve the rehabilitation effect of respiratory failure patients with invasive mechanical ventilation in ICU, promote the recovery of respiratory function and reduce the incidence rate of complications.
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表 1 2组护理后呼吸功能比较(x±s)
组别 平均用力呼气量/% 平均肺活量/L 平均气道峰压/cmH2O 平均潮气量/mL 观察组 85.74±6.34* 3.66±0.57* 23.65±2.52* 562.20±68.37* 对照组 69.28±8.51 3.15±0.83 27.71±2.86 456.69±82.43 与对照组比较, *P < 0.05。 
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表 2 2组护理配合度、满意度比较(x±s)[n(%)]
组别 护理配合度/分 满意 观察组 9.08±0.71* 47(94.0)* 对照组 7.65±1.26 39(78.0) 与对照组比较, *P < 0.05。
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表 3 2组并发症发生率比较[n(%)]
组别 呼吸机相关肺炎 口鼻黏膜损伤 声带损伤 压疮 总计 观察组 1 2 0 2 5(10.00)* 对照组 4 4 2 3 13(26.00) 与对照组比较, *P < 0.05。
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