综合护理干预对老年肺心病合并呼吸衰竭患者预后的影响

陈红娟，陈全红

（凤翔县医院，陕西 宝鸡，721400）

浏览次数：94次 下载次数：301次

摘要：

目的 探讨综合护理干预对老年肺心病合并呼吸衰竭患者预后的影响。方法 收集我院2013年10月至2015年10月收治的老年肺心病合并呼吸衰竭患者100例作为研究对象，将患者随机分为观察组和对照组，每组50例。对照组给予常规护理，观察组在常规护理的基础上给予综合护理干预，比较两组的护理效果。结果 护理前，两组患者的生活质量评分比较，无显著差异（P>0.05）；护理后，两组患者的生活质量评分均高于护理前，且观察组高于对照组（P<0.05）。观察组患者不良反应总发生率为 4.00%（2/50），低于对照组的16.00%（8/50）（χ2=3.9272，P<0.05）。结论 综合护理干预对老年肺心病合并呼吸衰竭患者预后的改 善有显著效果，提高了患者的生活质量，减少了不良反应的发生，降低了肺心病患者的死亡率，延长了肺心病患者的生命。

关键词：综合护理干预；肺心病；呼吸衰竭

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2018)01-0168-02

Effect of comprehensive nursing intervention on prognosis of the senile patients with pulmonary heart disease

complicated with respiratory failure
CHEN Hong-juan, CHEN Quan-hong
(the Hospital of Fengxiang County, Baoji 721400, China)

ABSTRACT: Objective To explore the effect of on prognosis of the senile patients with pulmonary heart disease complicated with respiratory failure. Methods A total of 100 senile patients with pulmonary heart disease complicated with respiratory failure in our hospital from October 2013 to October 2015 were randomly divided into observation group and control group, with 50 cases in each group. The control group was given routine nursing, while the observation group was given comprehensive nursing intervention on the basis of the routine nursing, the nursing effects of the two groups were compared. Results Before nursing, there was no significant difference in the quality of life scores between the two groups (P>0.05); after nursing, the quality of life scores of both groups were higher than those before nursing, and those of the observation group were higher than the control group (P<0.05). The total incidence of adverse reactions in the observation group was 4.00% (2/50), which was lower than 16.00% (8/50) in the control group ( χ2=3.9272, P<0.05). Conclusion Comprehensive nursing intervention in elderly patients with pulmonary heart disease complicated with respiratory failure has significant effect on patients`` prognosis, which can improve the quality of life, reduce the incidence of adverse reactions and mortality, prolong the life of patients with pulmonary heart disease.
KEYWORDS: comprehensive nursing intervention; pulmonary heart disease; respiratory failure

参考文献：
[1] 陶利洪,王彩云.血府逐瘀胶囊对老年慢性肺心病并发Ⅱ型呼吸衰竭患者血小板聚集的影响[J].吉林中医药,2015,35(9):924-927.
[2] 那丽秋,吴立静,邓淑仙.肺心病合并呼吸衰竭的护理体会[C]//全国医学发展中护理新理论、新技术研讨会—静脉治疗护理新进展 论坛.2008:200-201.
[3] 董明.呼吸操对老年慢性阻塞性肺疾病患者腹部手术围手术期护 理质量的影响[J].临床合理用药杂志,2014,7(11):146-147.
[4] 李亚清,严建平,许武林,等.双水平气道正压通气对老年慢性肺源 性心脏病合并Ⅱ型呼吸衰竭患者血浆N-端脑利钠肽前体水平 的影响[J].中华老年医学杂志,2014,33(11):1157-1160.
[5] 朴希君.护理干预对BiPAP 呼吸机治疗COPD 合并呼吸衰竭患者 肺功能的影响[J].广西医科大学学报,2015,32(5):857-859.