High quality nursing intervention for elderly patients with acute exacerbation of COPD complicated with respiratory failure
10.7619/jcmp.201804009
- VernacularTitle:老年急性加重期慢性阻塞性肺疾病并发呼吸衰竭患者的优质护理干预
- Author:
Shifen CHEN
1
;
Xiaojie LUO
;
Wenbin XU
Author Information
1. 四川省隆昌县人民医院重症医学科
- Keywords:
high quality care;
elderly patients;
acute exacerbation;
chronic obstructive pulmonary disease;
plumonary function;
serum inflammatory factors
- From:
Journal of Clinical Medicine in Practice
2018;22(4):31-33,41
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of high quality nursing intervention in elderly patients with acute exacerbation of COPD complicated with respiratory failure and its influence on serum inflammatory factors.Methods A total of 100 elderly COPD patients with respiratory failure in ICU were randomly divided into observation group (50 cases) with high quality nursing intervention,and control group (50 cases) with routine nursing according to random table method,pulmonary function improvement,and level changes of serum inflammatory factors after 2 week follow-up of two groups were observed,and quality of nursing intervention was compared.Results There were significant differences in lung function index (FEV1,FEV1/FVC and FEV1％) after treatment compared with treatment before,and observation group was significantly better than the control group (P ＜0.05).There was a significant difference between the two groups after treatment in levels of serum inflammatory factors (IL-1,IL-2,TNF-α,FIN-γ) than treatment before,and the observation group was significantly better than the control group (P ＜ 0.05).The observation group had better conditions in hospitalization time,hospitalization cost and nursing satisfaction than the control group (P ＜0.05).Conclusion Quality care can obviously improve clinical symptoms,lung function and level of serum inflammatory factors,and can improve compliance and clinical nursing satisfaction,so it is worthy of promotion.
