Effect of comprehensive nursing intervention on expectoration in patients with acute cerebral vascular ;disease combined with acute lung injury

Abstract

Objective To explore the effect of comprehensive nursing intervention on expectoration in patients with acute cerebral vascular disease combined with acute lung injury （ALI）.Methods One hundred and fifteen patients with acute cerebral vascular disease combined with ALI were randomly divided into the intervention group （ n=58 ） and the control group （ n=57 ） according to random number table .The intervention group received the comprehensive nursing intervention including the breathing exercises , sputum induction and chest percussion therapy , and the control group received the conventional sputum nursing according to the acute cerebral vascular disease combined with ALI , and the effect of expectoration was compared in two groups . Results No difference was found in the oxygen saturation before the intervention in two groups （P＆gt;0.05）. The oxygen saturation is （96.58 ±2.31）% after the expectoration in the intervention group , and was higher than （92.53 ±2.73）% in the control group, and the difference was statistically significant （t=8.594, P＆lt;0.01）.The PaO2 was （81.05 ±1.23） mmHg after the expectoration in the intervention group , and was higher than （77.18 ±1.37） mmHg in the control group, and the difference was statistically significant （t=15.945, P＆lt;0.01）.The time of effective expectoration , alleviating the symptoms of asthma hold , the disappearance of sputum, body temperature returned to normal and ICU monitoring were respectively （3.57 ±1.25） h, （5.26 ± 1.53） h, （3.52 ±1.63） d, （5.32 ±1.65） d, （7.52 ±1.67） d in the intervention group, and were less than （5.72 ±1.52） h, （9.57 ±2.05） h, （5.93 ±2.15） d, （7.82 ±1.87） d, （11.65 ±2.31） d in the control group, and the differences were statistically significant （ t =8.291, 12.792, 6.781, 7.605, 11.001, respectively;P 〈0.01）.The total efficiency of the recovery of respiratory function after the effective expectoration in the intervention group was 96.55%, and was higher than 82.46%in the control group, and the difference was statistically significant （χ2 =6.116, P 〈0.01 ）.Conclusions Comprehensive nursing intervention can promote the expectoration , increase gas exchange efficiency , improve hypoxia as soon as possible, alleviate the symptoms of asthma hold , and enhance the effect of treatment in patients with acute cerebral vascular disease combined with ALI . Key words: Acute lung injury; Cerebral vascular disease; Expectoration; Comprehensive nursing intervention