摘要目的 对海南地区候鸟人群中行无创通气治疗的慢性阻塞性肺疾病患者进行程序护理研究.方法 本研究随机选取2011年12月至2012年8月慢性阻塞性肺疾病患者40例,将40例患者随机分为程序护理组(心理护理+常规护理+呼吸机使用训练指导)以及常规护理组,对各组护理后的血氧饱和度、二氧化碳分压、血氧分压、mMRC、CAT评分等指标与护理前的差异.结果 候鸟人群慢性阻塞性肺疾病患者平均年龄在65岁以上,病程长者超过30年,发病时间多集中于北方天气转寒以后,行无创通气前血氧饱和度低至85％～90％;程序护理组在护理后的血氧饱和度、血氧分压等指标均比常规组有较大的提升,而mMRC、CAT评分和二氧化碳分压指标相对于常规组降低幅度较大.结论 海南地区候鸟人群慢性阻塞性肺疾病患者年龄大,病程长,病情重,发病时间集中,行无创通气治疗过程中,程序护理患者更容易接受无创通气,效果更明显、更快捷,应当加以推广应用.

abstractsObjective To explore the program nursing care during noninvasive ventilation to migratory population patients in Hainan with chronic obstructive pulmonary disease.Methods All patients with chronic obstructive pulmonary disease using noninvasive ventilation enrolled from 2011 December to 2012 August were 40 cases.They were randomly divided into program nursing group (routine nursing care plus psychological nursing plus ventilator use training) and routine nursing group.All the patients accepted detection of saturation of blood oxygen,partial pressure of carbon dioxide,oxygen partial pressure,mMRC,CAT score index before and after care.Results In migratory population patients in Hainan with chronic obstructive pulmonary disease the average age was 65 years old.The length of illness course of some patients was over 30 years.These patients came to Hainan after the weather of north turns cold.A low oxygen saturation to 85％ 90％ before non invasive ventilation was common.The saturation of blood oxygen,oxygen partial pressure of patients in program nursing group after nursing was improved more greatly than that in the routine nursing group.While,mMRC,CAT score and the partial pressure of carbon dioxide in program nursing group decreased more greatly.Conclusions Migratory population patients in Hainan with chronic obstructive pulmonary disease are elder and more severity than patients in manland.During the period non invasive ventilation program nursing care is more susceptible to receive.It shall be applied to more similar patients.