| 蔡国玲.时效性激励护理联合通气体位管理在重症呼吸衰竭患者中的应用效果[J].济宁医学院学报,2024,47(3):218-221 |
| 时效性激励护理联合通气体位管理在重症呼吸衰竭患者中的应用效果 |
| Effect of time-effective incentive nursing combined with ventilation position management in patients with severe respiratory failure |
| 投稿时间：2024-03-29 |
| DOI：10.3969/j.issn.1000-9760.2024.03.011 |
| 中文关键词: 呼吸衰竭;时效性激励护理;通气体位管理;康复依从性 |
| 英文关键词: Respiratory failure;Timely incentive nursing;Ventilation position management;Rehabilitation compliance |
| 基金项目:河南省科技厅联合共建项目（232102310354) |
| 作者 | 单位 | | 蔡国玲 | 河南省胸科医院呼吸监护室, 郑州 450000 |
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| 中文摘要: |
| 目的 分析时效性激励护理联合通气体位管理在重症呼吸衰竭(RF)患者中的应用效果。方法 回顾性选取2022年5月至2023年2月在医院接受常规护理联合通气体位管理的40例重症RF患者为对照组;另选取2023年3月至2023年12月在医院接受时效性激励护理联合通气体位管理的40例重症RF患者为观察组。两组均连续干预2周。比较两组干预前、干预2周时第1秒用力呼气容积(FEV1)、用力肺活量(FVC);比较两组干预1周时、干预2周时6min步行距离;分别采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、运动训练依从性调查问卷(EARS)评估两组干预前、干预2周时焦虑、抑郁水平及康复依从性。结果 干预2周时,观察组FEV1、FVC干预前、后差值高于对照组,差异均有统计学意义(P＜0.05);两组间运动耐量干预2周与干预1周差值具有统计学意义(P＜0.05)。干预2周时,两组间HAMA、HAMD干预前、后差值具有统计学意义(P＜0.05)。两组EARS评分干预前、后差值差异均有统计学意义(P＜0.05)。结论 时效性激励护理联合通气体位管理可改善重症RF患者肺功能指标,增强患者运动耐量,缓解患者的负性情绪,提升患者康复依从性。 |
| 英文摘要: |
| Objective Analyze the impact of timely incentive nursing combined with ventilation position management in patients with severe respiratory failure (RF).Method sRetrospectively 40 severe RF patients who received routine nursing and ventilation position management in hospitals from May 2022 to February 2023 was selected as the control group;Additionally,clinical data of 40 severe RF patients who received timely incentive nursing combined with ventilation position management in hospitals from March 2023 to December 2023 were selected and included in the observation group.Both groups received continuous intervention for 2 weeks.Compare two sets of baseline data;Compare the forced expiratory volume (FEV1) and forced vital capacity (FVC) at the first second before and after 2 weeks of intervention between two groups;Compare the 6-minute walking distance between the two groups at 1 week of intervention,and at 2 weeks of intervention;The Hamilton Anxiety Scale (HAMA),Hamilton Depression Scale (HAMD),and Exercise Training Compliance Survey Questionnaire (EARS) were used to evaluate the levels of anxiety,depression,and rehabilitation compliance of the two groups before and after 2 weeks of intervention.Results After 2 weeks of intervention, the differences in FEV1 and FVC values between before and after intervention in the observation group were higher than those in the control group,and the differences were statistically significant (P＜0.05).There was also a statistically significant difference in the change of exercise tolerance between the two groups from 1 week to 2 weeks of intervention.After 2 weeks of intervention, the differences in HAMA and HAMD scores between before and after intervention in the two groups were statistically significant (P＜0.05).Additionally,the differences in EARS scores between before and after intervention in both groups were also statistically significant. Conclusion Timely incentive nursing combined with ventilation position management can improve lung function indicators,enhance exercise tolerance,alleviate negative emotions,and enhance rehabilitation compliance in severe RF patients. |
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