关键词: 清醒俯卧位；急性低氧性呼吸衰竭；依从性；影响因素

Abstract: Objective: To investigate the current status of awake prone position ventilation compliance in patients with acute hypoxic respiratory failure and analyze its influencing factors, in order to provide reference for formulating corresponding improvement strategies. Methods: From December 2022 to February 2023, convenience sampling was used to investigate patients with acute hypoxic respiratory failure in a hospital in Shanghai with the general information questionnaire, self-developed Obstacles to Awake Prone Position Ventilation Compliance Questionnaire, Barthel Index Scale and Numerical Pain Rating Scale. Results: A total of 85 patients participated in the survey. The time of awake prone position was 4 (2,6) hours per day, and 30 patients (35.3%) had good compliance. The most common hindering factors were: failure to change position in time to relieve the discomfort of prone position (63.5%), insufficient understanding of the significance of prone position ventilation (42.4%), and lack of confidence in disease recovery (27.1%). Logistic regression results showed that numerical pain score was the influencing factor of compliance in patients with awake prone position (P<0.05). Conclusion: The compliance of awake prone position ventilation in patients with acute hypoxic respiratory failure is poor, and the implementation of prone position is poor in patients with higher numerical pain scores. Medical teams should pay attention to the compliance status of awake prone position in patients with acute hypoxic respiratory failure, and formulate corresponding improvement strategies to enhance the tolerance of patients, improve the compliance of awake prone position treatment, and thereby improve the treatment effects of patients.

Key words: awake prone position; acute hypoxic respiratory failure; compliance; influencing factor