机械通气后患者的呼吸功能、日常生活活动和生活质量评估

G. Kaur, S. Kaur, M. Dhandapani, N. Yaddanapudi
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引用次数: 0

摘要

背景:机械通气的根本目的是恢复和改善呼吸功能,缓解呼吸窘迫,从而使急慢性呼吸衰竭患者的肺部和气道得以愈合。机械通气后的相关并发症可能会增加再次插管的机会、降低生活质量、延长住院时间和增加住院费用等。研究目的评估机械通气后患者的呼吸功能、日常生活活动和生活质量。方法:采用目的性抽样技术:采用目的性抽样技术,将 72 名从呼吸机断气 24 小时后的患者纳入研究。使用有效工具对他们的社会人口学特征、呼吸功能、日常生活活动和生活质量进行了评估。结果显示平均每分钟呼吸频率和血氧饱和度分别为 21.69 ± 4.10 和 93.58 ± 3.73。58.9%的患者有呼吸困难,18.1%的患者呼吸音异常,22.3%的患者在呼吸时使用辅助肌肉,20.9%的患者在呼吸时有疼痛感,18.1%的患者在拔管后咳嗽并有痰液产生。四分之三的患者(75%)在日常生活中完全依赖他人。根据 SF-36 项目量表,半数以上(59.8%)的患者生活质量良好。结论有必要为患者制定护理干预计划,以减少机械通气后的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Respiratory Functions, Activities of Daily Living, and Quality of Life of the Post-mechanical Ventilated Patients
Background: The fundamental goal of mechanical ventilation is to restore and improve respiratory functions and relieve respiratory distress, thus permitting lungs and airways to heal in acute and chronic respiratory failure conditions. Associated post-mechanical ventilation complications may increase the chance of re-intubation, poor quality of life, hospital stay and hospital costs, and so on. Objective: To assess the respiratory functions, activities of daily living, and quality of life of the post-mechanical ventilated patients. Methods: Using a purposive sampling technique, 72 patients after 24 h of weaning from the ventilator were enrolled in the study. Their socio-demographic profile, respiratory functions, activities of daily living, and quality of life were assessed using validated tools. Results: The mean respiratory rate per minute and oxygen saturation were 21.69 ± 4.10 and 93.58 ± 3.73, respectively. A total of 58.9% of the patients had dyspnea, 18.1% had abnormal breathing sound, 22.3% were using accessory muscles during breathing, 20.9% had pain during breathing, and 18.1% had cough with sputum production after extubation. Three fourth of the patients had complete dependency (75%) to perform activities of daily living. More than half (59.8%) of the patients had good quality of life scores as per the SF-36 item scale. Conclusion: There is a need to plan nursing interventions for patients in order to decrease post-mechanical ventilation complications.
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