摘要
目的:探讨影响呼吸衰竭患者清醒俯卧位通气依从性的因素,为临床护理干预措施制订提供依据。方法:纳入2022年1月—2024年7月海安市中医院接受清醒俯卧位通气治疗的118例呼吸衰竭患者。统计患者基线资料、疾病严重程度[动脉血氧分压(PaO_(2))/吸入氧浓度(FiO_(2))、序贯器官衰竭评估(SOFA)评分]、心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分]、护理干预力度及社会支持水平数据。采用单因素及logistic回归分析探讨影响呼吸衰竭患者清醒俯卧位通气依从性的相关因素。结果:118例患者平均依从性得分(16.48±1.35)分,高依从组平均(17.28±0.73)分,低依从组平均(14.66±0.91)分。两组性别、年龄、文化程度、慢性病、体重指数、HAMA评分比较,差异均无统计学意义(P>0.05)。高依从组HAMD、疾病严重程度评分均低于低依从组,护理干预力度、社会支持水平评分均高于低依从组,差异均有统计学意义(P<0.05)。logistic回归分析显示,HAMD评分、疾病严重程度、护理干预力度和社会支持水平为影响呼吸衰竭患者清醒俯卧位通气依从性的独立因素(P<0.05)。结论:抑郁程度、疾病严重程度、护理干预力度及社会支持水平影响呼吸衰竭患者在清醒状态下进行俯卧位通气的依从性。
Objective:To investigate the factors affecting the compliance of conscious prone ventilation in patients with respiratory failure,and to provide evidence for the formulation of clinical nursing intervention measures.Method:A total of 118 patients with respiratory failure who received conscious prone ventilation treatment in Hai’an Hospital of Traditional Chinese Medicine from January 2022 to July 2024 were included.The baseline data,disease severity[partial pressure of oxygen in arterial blood(PaO_(2))/fraction of inspired oxygen(FiO_(2)),sequential organ failure assessment(SOFA)scores],psychological status[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)scores],nursing intervention intensity and social support level data were counted.Single factor and logistic regression analysis were used to investigate the related factors affecting compliance of conscious prone ventilation in patients with respiratory failure.Result:The average compliance score of 118 patients was(16.48±1.35)scores,the average score of high compliance group was(17.28±0.73)scores,and the average score of low compliance group was(14.66±0.91)scores.There were no significant differences in gender,age,educational level,chronic disease,body mass index and HAMA scores between the two groups(P>0.05).The scores of HAMD and disease severity in the high compliance group were lower than those in the low compliance group,and the scores of nursing intervention intensity and social support level were higher than those in the low compliance group,the differences were statistically significant(P<0.05).logistic regression analysis showed that HAMD score,disease severity,nursing intervention intensity and social support level were independent factors affecting the compliance of conscious prone ventilation in patients with respiratory failure(P<0.05).Conclusion:The depression degree,disease severity,nursing intervention intensity and social support level affect the compliance of patients with respiratory failure undergoing prone ventilation in consciousness.
作者
徐慧
吴丽
XU Hui;WU Li(Department of Critical Care Medicine,Hai’an Hospital of Traditional Chinese Medicine,Hai’an 226600,China;不详)
出处
《中国医学创新》
2025年第3期143-146,共4页
Medical Innovation of China
关键词
呼吸衰竭
清醒俯卧位通气
依从性
影响因素
Respiratory failure
Conscious prone ventilation
Compliance
Influencing factors
作者简介
通信作者:徐慧。
