Evaluation of the effect of intensive care mode in patients with COPD complicated with respiratory failure / 中国实用护理杂志

ABSTRACT

Objective@#To explore the effects of sequential mechanical ventilation on pulmonary function, blood gas analysis, quality of life and patientsundefined satisfaction with nursing care in patients with chronic obstructive pulmonary disease (COPD) and respiratory failure (COPD) treated by sequential mechanical ventilation.@*Methods@#From March 2016 to March 2017, 90 COPD patients with respiratory failure treated by sequential mechanical ventilation were selected and divided into two groups according to the digital random method. 45 patients in the control group were treated with routine nursing. 45 patients in the observation group were treated with intensive care mode. The forced vital capacity (forced vital capacity, FVC), 1s forced expiratory volume (forced expiratory volume in one second, FEV1) was compared between the two groups before intervention (on admission) and after intervention (1 day before discharge). Arterial partial pressure of carbon dioxide (PaCO2) and partial pressure of blood oxygen (PaO2) were different. The quality of life (QOL) was evaluated by using QOL-74 (Generic Quality of Life Inventory-74, GQOL-74 before and after intervention.@*Results@#There was no significant difference in FVC, FEV1, FEV1/FVC, PaCO2, PaO2 between the two groups (P > 0.05). After nursing intervention, the FVC of the patients in the observation group was (2.75±0.62) L and FEV1 was (2.05±0.51) L, respectively. FEV1/FVC was (49.1±5.3)%, PaCO2 was (36.62±2.73) mmHg, PaO2 (94.72±4.57) mmHg, and control group was (2.38±0.74) L, (1.69±0.45) L, (62.6±4.4)%. (48.45±5.36) mmHg, (88.25±4.02) mmHg, t=2.571, t=3.551, t=13.147, t=13.193, t=7.130,group was superior to the control group (P < 0.05). There was no significant difference in cognitive function, somatic function, social function and psychological status between the two groups before nursing (P > 0.05), but the scores of four dimensions in the control group were (66. 4 ±10.5) after nursing. (70.3±12.8), (72.2±13.6), (70.7±11.8), (72.8±9.7), (81.5±15.2), (78.4±12.9), (79.6 ±15.5), t=3.003)、t=3.780、t= 2.219、t= 3.065, P < 0.05. The success rate of rescue was 86.67%in the observation group, the mortality was 6.67%, the average hospitalization time was (12.8±4.2) days, the satisfaction degree for nursing was 94.87%, and the four items in the control group were 68.89% and 26.67%, respectively. (17.1±3.3) d, the satisfaction degree for nursing was 77.42%, P < 0.05. The difference between the two groups was statistically significant (P < 0.05), and there was a significant difference between the two groups (P < 0.05), and the difference between the two groups was statistically significant (P < 0.05), and the difference between the two groups was statistically significant (P < 0.05).@*Conclusion@#COPD patients with respiratory failure can significantly improve the success rate of rescue, promote the recovery of pulmonary function, improve the quality of life, and enhance the recognition of medical services.