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目的:研究应用无创呼吸机慢性阻塞性肺疾病(COPD)患者发生抗生素相关性腹泻的综合护理效果。方法:选取我院2013年6月至2016年6月82例发生抗生素相关性腹泻的COPD患者为研究对象,所有患者均采用无创呼吸机辅助治疗,将纳入患者抽随机分为综合护理组与常规护理组,每组41例。常规护理组给予常规护理,综合护理组在常规护理基础上给予综合护理,比较两组腹泻程度、腹泻次数、肠鸣音频率、腹泻持续时间及肛周皮肤情况。结果:综合护理组干预后的无腹泻率、肛周皮肤Ⅰ度损伤率分别为61.0%、70.7%显著高于常规护理组的39.0%、39.0%(P<0.05);综合护理组干预后的腹泻次数、腹泻持续时间分别为(2.04±1.52)次/d、(4.47±2.13)d显著低于常规护理组的(3.29±1.91)次/d、(6.29±2.45)d(P<0.05)。结论:采用监测评估、消毒管理、腹部护理、呼吸机护理、肛周皮肤护理、饮食指导、心理护理等综合护理措施,可以有效缓解腹泻症状,改善肛周皮肤,提高患者生活质量。
Objective: To study the comprehensive nursing effect of antibiotic-associated diarrhea in non-invasive ventilator patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 82 COPD patients with antibiotic-associated diarrhea in our hospital from June 2013 to June 2016 were selected as non-invasive ventilator-assisted therapy. All patients were randomly divided into general nursing group Nursing group, 41 cases in each group. The general nursing group was given routine care. The general nursing group was given comprehensive nursing care based on routine nursing care. The degree of diarrhea, frequency of diarrhea, frequency of bowel sounds, diarrhea duration and perianal skin condition were compared between the two groups. Results: The rate of Ⅰ degree injury of perianal skin was 61.0% and 70.7% respectively in the comprehensive nursing group after intervention compared with 39.0% and 39.0% (P <0.05) The number of diarrhea and diarrhea duration were (2.04 ± 1.52) times / day, (4.47 ± 2.13) days and 3.29 ± 1.91 days / d respectively, (6.29 ± 2.45) days (P <0.05) . Conclusion: Comprehensive nursing measures such as monitoring and evaluation, disinfection management, abdominal nursing, ventilator nursing, perianal skin care, dietary guidance and psychological nursing can effectively relieve the symptoms of diarrhea, improve perianal skin and improve the quality of life of patients.