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目的:探讨综合护理干预对COPD合并呼吸衰竭患者的影响。方法:将100例COPD合并呼吸衰竭患者按随机数字表法等分为观察组和对照组,对照组患者给予常规护理,观察组在对照组基础上实施综合护理干预,比较两组患者临床疗效、血气指标变化情况、治疗依从性、SAS评分、SDS评分及不良反应发生率。结果:观察组患者临床治疗效果和治疗依从性显著高于对照组(P<0.05)。治疗后观察组患者pH、PaCO_2、PaO_2和SpO_2指标改善程度显著优于对照组(P<0.05),且SAS和SDS评分显著低于对照组(P<0.05)。两组患者不良反应发生情况比较差异无统计学意义(P>0.05)。结论:综合护理干预在COPD合并呼吸衰竭患者中应用能够有效改善患者呼吸功能和血气指标,提高患者治疗依从性,缓解患者焦虑、抑郁等情绪,且不增加患者不良反应。
Objective: To investigate the impact of comprehensive nursing intervention on COPD patients with respiratory failure. Methods: 100 cases of COPD patients with respiratory failure were randomly divided into observation group and control group according to random number table. Patients in control group were given routine nursing care. Observation group were given comprehensive nursing intervention on the basis of control group. Clinical curative effect, Blood gas changes, treatment compliance, SAS score, SDS score and incidence of adverse reactions. Results: The clinical efficacy and compliance of treatment in observation group were significantly higher than those in control group (P <0.05). After treatment, the improvement of pH, PaCO_2, PaO_2 and SpO_2 in observation group was significantly better than that in control group (P <0.05), and SAS and SDS scores were significantly lower than those in control group (P <0.05). There was no significant difference in adverse reactions between the two groups (P> 0.05). Conclusion: The application of comprehensive nursing intervention in patients with COPD and respiratory failure can effectively improve the respiratory function and blood gas index, improve patient compliance and relieve the anxiety and depression of patients without any adverse reactions.