Effect of nursing intervention on the efficacy of noninvasive positive pressure ventilation in the treatment of chronic obstructive pulmonary disease combined with respiratory failure

Abstract

Objective To explore the clinical efficacy of nursing intervention on noninvasive positive pressure ventilation （ NPPV） in the treatment of chronic obstructive pulmonary disease （ COPD） combined with respiratory failure .Methods Eighty patients with COPD combined with respiratory failure from April 2012 to April 2013 were divided into the control group and the observation group according to the random number table , each with 40 cases.All patients received the NPPV , and the control group received the routine nursing , and the observation group received the special nursing including psychological nursing , respiratory tract nursing , complication nursing.The clinical efficacy was compared between two groups .Results The pH value, arterial partial pressure of oxygen （ PaO2 ） , partial pressure of carbon dioxide （ PaCO2 ） , respiratory rate , heart rate （ HR） were （7.4 ±0.1）, （72.5 ±7.0） mmHg, （40.0 ±6.0） mmHg, （16.0 ±4.0） /min, （86.0 ±8.0） beats/min in the observation group seven days after NPPV , which were better than （7.3 ±0.1）, （58.7 ±6.2） mmHg, （48.7 ±6.5） mmHg, （19.0 ±5.0） /min, （93.0 ±9.0） beats/min in the control group, and the differences were statistically significant （t=2.19,2.68,2.41,2.38,2.49, respectively;P〈0.05）.The effective rate of treatment was 95.0%（38/40） in the observation group, and was 80.0% （32/40） in the control group, and the difference was statistically significant （χ2 =4.11, P 〈0.05 ）.Conclusions The effective nursing intervention on NPPV in the treatment of COPD combined with respiratory failure can increase the clinical efficacy, and improve the prognosis quality of patients . Key words: Pulmonary disease, chronic obstructive （ COPD ） ; Respiratory insufficiency; Intermittent positive pressure ventilation; Nursing intervention