摘要
Abstract
Objective To explore the effect of evidence-based health education combined with non-invasive positive pressure ventilation on the clinical efficacy of menopausal women with chronic obstructive pulmonary disease(COPD)and respiratory failure.Methods From February 2021 to February 2024,100 patients with menopausal COPD complicated with respiratory failure admitted to Wenzhou TCM Hospital were observed.According to the different intervention methods,100 patients were divided into routine group and study group,with 50 patients in each group.The patients in routine group were given routine intervention combined with non-invasive positive pressure ventilation,and the patients in study group were given health education under the evidence-based concept on the basis of routine group.The blood gas index,psychological state,general comfort question naire(GCQ)and Pittsburgh sleep quality index(PSQI)scores,treatment effect and complications were compared between two groups.Results Before intervention,insignificant changes existed in arterial partial pressure of carbon dioxide(PaCO2),arterial oxygen partial pressure(PaO2),and oxygen saturation of blood(SaO2)levels between both groups(P＞0.05).After the intervention,the PaCO2 of study group fell below than that of routine group,while PaO2 and SaO2 soared beyond than those of routine group(P＜0.05).Before intervention,no variance noted in self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores in both groups(P＞0.05).After the intervention,the SDS score points and SAS score points of study group were lower than those of routine group,and were statistically different(P＜0.05).Before intervention,there was no difference in GCQ and PSQI scores between two groups(P＞0.05).After intervention,The study group exhibited a superior GCQ score compared to routine group,coupled with an inferior PSQI score(P＜0.05).Comparing the ratings,the study group achieved a slightly higher proficiency rate(92％ vs.84％ )yet no significant disparity emerged(P＞0.05).Study group's complication rate at 4.00％ was significantly lower than routine group's at 16.00％ .Statistically significant difference observed(P＜0.05).Conclusion Under the concept of evidence-based health education combined with non-invasive positive pressure ventilation,the blood gas index,anxiety,depression and sleep quality of patients with climacteric chronic obstructive pulmonary disease and respiratory failure were significantly improved,which could reduce the occurrence of complications.关键词
健康教育/无创正压通气/围绝经期/慢性阻塞性肺疾病/呼吸衰竭Key words
Health education/Non invasive positive pressure ventilation/Menopausal period/Chronic obstructive pulmonary disease/Respiratory failure分类
医药卫生
