Effect of intensive psychological nursing on blood gas index and effect of positive airway pressure ventilation inpatients with severe pneumonia and respiratory failure
强化心理护理对呼吸道正压通气辅助治疗重症肺炎伴呼吸衰竭患者血气指标及效果的影响

摘要

目的 分析强化心理护理用于重症肺炎伴呼吸衰竭呼吸道正压通气辅助治疗的价值。方法 随机均分 2021 年 10 月-2023 年 9 月本科接诊重症肺炎伴呼吸衰竭病人（n=62）。试验组呼吸道正压通气辅助治疗期间采 取强化心理护理，对照组行常规护理。对比 SDS 评分等指标。结果 关于动脉血氧饱和度与动脉血氧分压和动脉 血二氧化碳分压：干预结束时，试验组数据优于对照组（P＜0.05）。SDS 和 SAS 评分：干预结束时，试验组数 据低至（29.16±2.84）分、（31.36±3.54）分，而对照组数据则达到了（43.05±3.72）分、（45.27±4.91）分，相比 较下，试验组的心态更好（P＜0.05）。依从性：试验组数据达到了 96.77%，而对照组数据则仅有 80.65%，相比 较下，试验组的依从性更高（P＜0.05）。通气时间和住院时间：试验组数据只有（30.24±5.24）h、（9.52±1.24） d，而对照组数据则达到了（37.91±6.18）h、（13.68±2.36）d，相比较下，试验组的时间更短（P＜0.05）。结论 重症肺炎伴呼吸衰竭呼吸道正压通气辅助治疗用强化心理护理，病人的依从性更高，通气时间更短，病情恢复更 快，不良情绪缓解更为迅速，血气指标改善更加明显。

Abstract

Objective To analyze the value of intensive psychological nursing in the adjuvant treatment of severe pneumonia accompanied by respiratory failure with positive airway pressure ventilation.
Methods Patients with severe pneumonia with respiratory failure were randomly divided into four groups from October 2021 to September 2023 (n=62). The experimental group received intensive psychological nursing during the treatment of positive airway pressure ventilation, and the control group received routine nursing. Compare SDS scores and other indicators.
Results In terms of arterial oxygen saturation, arterial partial pressure of oxygen and arterial partial pressure of carbon dioxide, the data of experimental group was better than that of control group at the end of intervention (P < 0.05). SDS and SAS scores: At the end of the intervention, the data of the experimental group were as low as (29.16±2.84) points and (31.36±3.54) points, while the data of the control group were as low as (43.05±3.72) points and (45.27±4.91) points, and the mentality of the experimental group was better (P<0.05). Compliance: The data of the experimental group reached 96.77%, while the data of the control group was only 80.65%, and the compliance of the experimental group was higher than that of the control group (P<0.05). Ventilation time and hospital stay: the experimental group had only (30.24±5.24) h and (9.52±1.24) d, while the control group had only (37.91±6.18) h and (13.68±2.36) d, and the experimental group had shorter time (P<0.05).
Conclusion   Intensive psychological nursing with positive airway pressure ventilation in the adjuvant treatment of severe pneumonia with respiratory failure has higher compliance, shorter ventilation time, faster recovery of disease, faster relief of adverse mood, and more obvious improvement of blood gas index.