Study On Comfortable Nursing Care Of Face Mask Positive Pressure Ventilation For Patients After Coronary Artery Bypass Graft

BackgroundCoronary artery bypass grafting(CABG)is the most effective treatment for severe stenosis or occlusion of coronary arteries.Hypoxemia is one of the more serious complications,which seriously affects the prognosis of patients.Non-invasive positive pressure ventilation is an effective treatment method for clinical treatment of hypoxemia.Face-mask positive pressure ventilation is a method of non-invasive positive pressure.However,due to low comfort,patients have poor compliance and affect the treatment effect.This study constructs a comfortable nursing plan for face-mask positive pressure ventilation,and provides comfortable nursing intervention for patients with hypoxemia after CABG who use non-invasive ventilator to improve the comfort of patients,improve the symptoms of hypoxia,and provide a theoretical basis for the clinic And intervention strategies.ObjectsConstruct a comfortable nursing program for patients after CABG with face-mask positive pressure ventilation,and analyze its effect through clinical application,improve the comfort of patients when using non-invasive ventilator,and improve the symptoms of hypoxia.Methods1.Plan construction:Construct a comfortable care plan for patients after CABG by consulting relevant domestic and foreign literature and consulting expert advice.2.Program application:Select the patients who meet the inclusion criteria in the cardiovascular surgery department of a tertiary hospital in Xinxiang City as the research objects,and divide them into the control group and the experimental group with 56 cases each using a random number table method.The patients in the control group received the conventional nursing program of non-invasive ventilator,and the patients in the experimental group implemented the comfortable nursing program on the basis of conventional nursing.The two groups of patients were enrolled when hypoxemia occurred.On the day of enrollment and the day of discharge,the comfort level General Comfort Questionnaire(GCQ)and Hospital Anxiety and Depression Scale(HADS)were used to investigate the level of comfort And the psychological status,the blood oxygen saturation value recorded on the day of enrollment and the day of weaning,and the evaluation of the patient’s dry mouth,abdominal distension,and facial skin damage after 2 hours of weaning.3.Using Spss23.0 statistical software for statistical analysis,the measurement data conforming to the normal distribution are expressed as mean±standard deviation(±s),and independent sample t test is used;non-normal distribution data is expresse-d as median and quartile Description,using Mann-Whitney U test.The enumeration d-at a adopts Chi-squre(Chi-squre,χ~2)test;α=0.05 is used as the test level.Results1.The comfort care plan of face-mask positive pressure ventilation for patients after CABG is constructed through literature research and expert argumentation.The program is composed of 4 dimensions,and each dimension is composed of corresponding intervention projects and intervention measures.2.After routine nursing in the control group,the scores of various indicators bet ween the control group were compared,the total score of GCQ(Z=-8.888,P<0.001),physiological dimension(Z=-7.276,P<0.001),psychological dimension(Z=-6.548,P<0.0-01),social and cultural dimensions(Z=-8.377,P<0.001)and environmental dimension-s(Z=-8.947,P<0.001),depression(Z=-3.734,P<0.005),with high scores Before ro-uti ne care,the differences were statistically significant(P<0.05),anxiety(Z=-1.058,P=0.290),and the differences were not statistically significant(P>0.05).3.Comparison of the scores of various indicators in the experimental group afte-r intervention,GCQ total score(Z=-8.889,P<0.001),physiological dimension(Z=-8.943,P<0.001),psychological dimension(Z=-8.928,P<0.001),social and cultural dimensions(Z=-9.024,P<0.001),environmental dimensions(Z=-8.956,P<0.001),anxiety(Z=-7.675,P<0.001),depression(Z=-7.105,P<0.001),the scores were higher than those before the intervention,and the differences were statistically significant(P<0.05).4.After the intervention,the difference between the two groups of patients’indic-ators was compared.GCQ total score(Z=-8.437,P<0.001),physiological dimension(Z=-2.015,P<0.005),psychological dimension(Z=-8.712,P<0.001)and environmental dimen-sions(Z=-8.030,P<0.001),blood oxygen saturation after intervention(Z=-7.583,P<0.-001),the scores were all higher than those of the control group,and the differences were statistically significant(P<0.05):the difference in social and cultural dimensions(Z=-0.389,P=0.698)is not statistically significant(P>0.05).5.Two hours after the non-invasive ventilator was removed,the indicators of the two groups were compared.The incidence of facial skin injury(χ~2=5.950,P=0.015),t-he incidence of abdominal distension(χ~2=6.014,P=0.014),and the average use time of the non-invasive ventilator(Z=-4.182,P<0.001),dry mouth score(Z=-8.912,P<0.00-1),all indicators were reduced compared with the control group,and the differences were statistically significant(P<0.05).Conclusions1.The comfort care program of face mask positive pressure ventilation for patients after CABG can improve the comfort of patients from four dimensions compared with the conventional care program.2.The comfort care program of face mask positive pressure ventilation for patients after CABG can effectively reduce the anxiety and depression of patients,improve the symptoms of hypoxia,and shorten the average use time of non-invasive ventilator.