关键词:

慢性阻塞性肺疾病, 呼吸衰竭, 雾化吸入, 综合护理, 肺功能, 生活质量

Abstract:

Objective　To analyze the application effect of comprehensive nursing intervention for patients with chronic obstructive pulmonary disease (COPD) and respiratory failure treated by atomizing inhalation. Methods　A total of 96 patients with COPD and respiratory failure who received atomization inhalation at Shangqiu First People's Hospital from October 2021 to September 2023 were selected. They were divided into a reference group and an experimental group according to the nursing methods, with 48 cases in each group. There were 20 males and 28 females in the reference group; they were (66.78±9.14) years old; their disease course was (5.06±1.12) years. There were 18 males and 30 females in the experimental group; they were (66.81±9.13) years old; their disease course was (4.95±1.02) years. Both groups took atomization inhalation therapy. The reference group took routine nursing. The experimental group took comprehensive nursing intervention, including psychological nursing, respiratory tract nursing, postural nursing, life management, and rehabilitation guidance. Both groups took drug therapy and nursing intervention for 7 d. Follow-up was 3 months. The lung function, blood gas analysis indicators, and quality of life before and after the intervention, treatment compliance, nursing satisfaction, and incidence rates of complications were compared between the two groups. t and χ² tests were used. Results　After the intervention, the forced vital capacity, forced expiratory volume in first second, and peak expiratory flow in the experimental group were higher than those in the reference group [(3.65±0.52) L vs. (3.21±0.53) L, (2.65±0.32) L vs. (2.31±0.42) L, and (82.72±6.23) L/min vs. (78.80±5.81) L/min, with statistical differences (t=4.105, 4.461, and 3.188; all P<0.05). After the intervention, arterial blood carbon dioxide partial pressure, arterial blood oxygen pressure, and pH value in the experimental group were better than those in the reference group [(50.05±3.52) mmHg (1 mmHg=0.133 kPa) vs. (61.49±4.03) mmHg, (70.05±6.32) mmHg vs. (60.01±5.92) mmHg, and (7.42±0.33) vs. (7.30±0.21)], with statistical differences (t=14.812, 8.032, and 2.125; all P<0.05). The treatment compliance and nursing satisfaction of the experimental group were higher than those of the reference group [100.0% (48/48) vs. 89.58% (43/48) and 97.92% (47/48) vs. 85.42% (41/48)]; the incidence rate of complications in the experimental group was lower than that in the reference group [4.17% (2/48) vs. 20.83% (10/48); there were statistical differences between the two groups (χ²=5.274, 4.909, all 6.095; all P<0.05). Follow-up was 3 months, the scores of physiological function, physiological function, physical pain, general health, vitality, social function, emotional function, and mental health in the experimental group were higher than those in the control group (80.05±6.52 vs. 71.10±5.41, 81.05±6.32 vs. 72.08±5.22, 82.72±6.23 vs. 71.45±5.06, 81.88±6.02 vs. 71.45±4.06, 82.76±6.61 vs. 73.08±5.01, 83.70±6.58 vs. 72.69±5.53, 86.91±6.21 vs. 75.65±5.31, and 85.05±5.52 vs. 76.10±4.41), with statistical differences (t=7.318, 7.581, 9.728, 9.951, 8.085, 8.874, 9.547, and 8.776; all P<0.05). Conclusion　In the treatment of patients with COPD and respiratory failure by atomization inhalation, comprehensive nursing intervention can improve their pulmonary function, arterial blood gas indicators, quality of life, treatment compliance, and satisfaction with nursing service, and reduce the risk of complications.

Key words:

Chronic obstructive pulmonary disease, Respiratory failure, Atomization inhalation, Comprehensive nursing, Lung function, Quality of life