关键词: 慢性阻塞性肺疾病, 双水平气道正压通气, 依从性, 护理干预

Abstract: ObjectiveTo investigate the factors affecting the compliance of the patients with AECOPD ventilated by BiPAP and study the efficacy of corresponding nursing intervention measures. Methods120 inpatients with AECOPD treated by requisite BiPAP in the department of respiratory medicine during January 2010 － March 2011 were selected. The influencing factors and the recognitive degree of patients′ family for using BiPAP assisted ventilation were studied. Furthermore, the recognitive degree changes of patients′ family and the compliance changes of patients were compared before and after the nursing intervention. ResultsBefore using BIPAP,the percentage of those who worried about the safety of ventilator, who feared it, who took its cost into account,who worried about the high cost from buying it, who doubted the future possible dependence on it, was 34.17％, 26.67％, 18.33％, 33.33％ and 12.50％, respectively. As for the family members,the proportion of agreement, uncertainty and disagreement was 58.33％, 16.67％ and 24.17％,respectively. Besides, the rate of patients′compliance was 47.50％. However, after the nursing intervention, the proportion of agreement,uncertainty and disagreement was 94.17％, 2.50％ and 3.33％, respectively, while the rate of patients′compliance rose to 93.30％. To compare before nursing intervention with after it, the difference of patients′ compliance and the recognitive degree of their family on BiPAP ventilation were statistically significance 单位 P＜0.05). Furthermore, the improvement of family recognitive degree was correlated with patients′ compliance significantly 单位 r＝0.56). ConclusionThe compliance of patients with AECOPD ventilated by BiPAP was associated with multiple factors. The individual nursing intervention measures could improve the patients′ compliance obviously.

Key words: chronic obstructive pulmonary disease单位 COPD), bi－level positive airway pressure ventilation, compliance, nursing intervention