Effects of different temperature settings on patients with acute respiratory failure treated with high-flow nasal cannula
10.3760/cma.j.cn115682-20210121-00346
- VernacularTitle:不同温度设置对经鼻高流量氧疗急性呼吸衰竭患者的影响
- Author:
Qiuyan REN
1
;
Huiping YAO
;
Yueyue LUO
;
Qi REN
;
Lei YE
Author Information
1. 浙江医院重症医学科，杭州 310000
- Keywords:
Intensive Care Units;
Acute hypoxic respiratory failure;
High-flow nasal cannula;
Comfort;
Dyspnea;
Satisfaction
- From:
Chinese Journal of Modern Nursing
2021;27(26):3609-3612
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of different temperature settings on patients with acute hypoxic respiratory failure (AHRF) during application of high-flow nasal cannula (HFNC) .Methods:A total of 90 patients with AHRF who were admitted to the Department of Critical Care Medicine of Zhejiang Hospital and underwent HFNC from January 2019 to May 2020 were selected as research objects by the convenient sampling method. The patients were randomly divided into 3 groups by the random number table method, namely, group A (T=31 ℃) , group B (T=34 ℃) and group C (T=37 ℃) , with 30 cases in each group. The VAS and Borg Scale were used to compare the comfort and dyspnea of patients of 3 groups, and to compare the satisfaction of patients of 3 groups.Results:After applying HFNC for 2 h and 12 h, the scores of VAS and Borg Scale in group B were lower than those in groups A and C, and the differences were statistically significant ( P<0.01) . The VAS scores of the three groups after applying HFNC for 12 h were higher than that after applying HFNC for 2 h, and the scores of Borg Scale were lower than that after applying HFNC for 2 h, and the differences were statistically significant ( P<0.05) . The satisfaction of patients in group B was higher than that in group A and C, and the differences were statistically significant ( P< 0.01) . Conclusions:Different temperature settings of HFNC will affect the comfort, dyspnea and satisfaction of AHRF patients. Among them, 34 ℃ is a more suitable temperature. As time progresses, nursing staff should intervene in time to maintain the comfort of patients, reduce the degree of dyspnea and provide guidance for the clinical application of HFNC.
