Research on effects of bedside sitting nursing on COPD patients with me-chanical ventilation duration
- VernacularTitle:床旁端坐位护理对COPD患者机械通气时间的影响研究
- Author:
Mingjun CHEN
1
;
Qunli DING
;
Yifeng CHEN
;
Hongjuan ZHANG
;
Xiaolan GUO
Author Information
1. 宁波大学医学院附属医院重症监护室
- Keywords:
Chronic obstructive pulmonary disease;
Bedside sitting position;
Mechanical ventilation;
Ventilator-asso-ciated pneumonia
- From:
China Modern Doctor
2015;53(35):127-130
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore influences of bedside sitting nursing on mechanical ventilation duration of patients with chronic obstructive pulmonary disease (COPD). Methods Ninety six patients with COPD admitted in the hospital from January 2013 to January 2014 were selected as research subjects, who were divided into control group and obser-vation group with 48 patients in each group according to different nursing modes. The patients in the control group were subjected to conventional treatment and nursing, while the patients in the observation group were subjected to bedside sitting nursing on the basis of that applied in the control group, mechanical ventilation duration, length of hospital stay, changes in blood and vigor indexes before and after nursing of two groups of patients were compared and analyzed. Re-sults The differences in comparisons of PaO2, PaCO2 and SpO2 levels of patients in two groups had no statistically signif-icant before nursing (P>0.05); and PaO2, PaCO2 and SpO2 levels of patients in the observation group after nursing were better than those indexes of patients in the control group (P<0.05). Mechanical ventilation duration and length of hospital stay of patients in the observation group were lower than those of patients in the control group, the successful removal of respirators used in the observation hit was 85.4%, was higher than 64.6% in the control group, the incidence of ven-tilator associated pneumonia was 4.2%, was lower than 22.9% in the control group, and the difference was significant (P<0.05). Conclusion The bedside sitting position can effectively improve the ventilation function of patients with COPD, reduce the duration of mechanical ventilation, decrease the occurrence of ventilator associated pneumonia, shorten hospitalization time, and improve the quality of survival, delivering high clinical application value.
