Effect of comprehensive nursing care on quality of life in patients with emergency respiratory failure

doi:10.3877/cma.j.issn.2095-9133.2016.02.014

Abstract

Abstract:

Objective

To explore the effect of comprehensive nursing intervention on the quality of life of emergency patients with respiratory failure.

Method

156 cases of emergency treatment of respiratory failure patients in our hospital in January 2013 to 2015 December were is selected and were randomly divided into the control group and the observation group, 78 cases in each group, respectively, the implementation of routine nursing and comprehensive nursing. Quality of life (QLQC-30), blood gas analysis, complications and nursing satisfaction were compared between the 2 groups.

Result

QLQC-30 total score and each dimension score of the observation group were higher than the control group, pH, SaO₂ and PaO₂ were higher than the control group and PaCO₂ lower than the control group, the difference was statistically significant(P<0.05). The incidence rate of complications in the observation group (3.85%) was lower than that of the control group (19.23%), while the observation group was significantly higher than the control group (80.77%) (92.31%), and the difference was statistically significant (P<0.05).

Conclusion

The implementation of comprehensive nursing intervention in emergency patients with respiratory failure can improve the ventilation function, reduce the incidence of complications, improve the quality of life and nursing satisfaction, it is worth popularizing and applying.

Key words: Respiratory failure, emergency treatment, Comprehensive nursing, Quality of life, blood gas analysis

Mingmei Song. Effect of comprehensive nursing care on quality of life in patients with emergency respiratory failure[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2016, 02(02): 125-128.

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References 10

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项目		例数	PaCO₂(mmHg)	PaO₂(mmHg)	SaO₂(%)	pH值
观察组		?	?	?	?	?
?	护理前	78	69.23±5.79	56.64±4.85	84.12±5.72	7.33±0.11
?	护理后	78	45.12±4.61^ab	90.44±6.98^ab	97.14±7.65^ab	7.40±0.12^ab
对照组		?	?	?	?	?
?	护理前	78	67.95±6.04	55.91±4.79	85.09±5.83	85.09±5.83
?	护理后	78	51.09±5.67^a	82.78±5.67^a	90.27±6.98^a	82.78±5.67^a

项目		例数	PaCO₂(mmHg)	PaO₂(mmHg)	SaO₂(%)	pH值
观察组		?	?	?	?	?
?	护理前	78	69.23±5.79	56.64±4.85	84.12±5.72	7.33±0.11
?	护理后	78	45.12±4.61^ab	90.44±6.98^ab	97.14±7.65^ab	7.40±0.12^ab
对照组		?	?	?	?	?
?	护理前	78	67.95±6.04	55.91±4.79	85.09±5.83	85.09±5.83
?	护理后	78	51.09±5.67^a	82.78±5.67^a	90.27±6.98^a	82.78±5.67^a

项目		例数	躯体功能	角色功能	情绪功能	认知功能	社会功能	症状	生存质量
观察组		?	?	?	?	?	?	?	?
?	护理前	78	45.68±6.83	47.92±7.12	40.34±5.67	60.69±7.56	55.63±5.98	10.02±1.03	55.01±6.45
?	护理后	78	79.55±9.64^ab	75.32±8.91^ab	80.13±9.95^ab	86.83±9.71^ab	78.02±6.54^ab	20.55±2.12^ab	79.82±7.43^ab
对照组		?	?	?	?	?	?	?	?
?	护理前	78	44.92±6.17	48.35±7.49	38.12±5.99	58.98±7.12	57.69±6.04	10.78±1.12	54.63±6.97
?	护理后	78	66.28±6.78^b	62.84±5.59^b	72.84±7.65^b	76.85±8.44^b	70.06±5.67^b	17.01±1.95^b	68.85±6.29^b

项目		例数	躯体功能	角色功能	情绪功能	认知功能	社会功能	症状	生存质量
观察组		?	?	?	?	?	?	?	?
?	护理前	78	45.68±6.83	47.92±7.12	40.34±5.67	60.69±7.56	55.63±5.98	10.02±1.03	55.01±6.45
?	护理后	78	79.55±9.64^ab	75.32±8.91^ab	80.13±9.95^ab	86.83±9.71^ab	78.02±6.54^ab	20.55±2.12^ab	79.82±7.43^ab
对照组		?	?	?	?	?	?	?	?
?	护理前	78	44.92±6.17	48.35±7.49	38.12±5.99	58.98±7.12	57.69±6.04	10.78±1.12	54.63±6.97
?	护理后	78	66.28±6.78^b	62.84±5.59^b	72.84±7.65^b	76.85±8.44^b	70.06±5.67^b	17.01±1.95^b	68.85±6.29^b

组别	例数	胃肠胀气	鼻眼干涩	口咽部不适	误吸	吸入性肺炎	总发生率(%)
观察组	78	1	1	1	0	0	3.85^a
对照组	78	3	4	4	3	1	19.23

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