The Patient With Sjögren’s Syndrome Who Successfully Weans From Mechanical Ventilation

A literature review shows that approximately 40% of patients with granulocytosis will cause interstitial pneumonia, which may lead to recurrent pneumonia or even acute respiratory failure if not treated properly or not (Lia, Lee, & Chang, 2016) Place the endotracheal tube in combination with the respirator to maintain the airway and gas exchange function. However, as the time of use of the respirator increases, it is easy to cause respirator dependence, lung damage and infection, and eventually lead to respiratory failure, so it should be as soon as possible. Provide patient individual care guidance, maintain good nutritional status, airway patency and respiratory strength, and assist patients to get rid of the respirator (Tian, Zhang, Wang, Ke, 2016; Xie, Song, Ye, 2013).

This article explores a 56-year-old woman who has been affected by the disease 2 years ago, gradually affected the respiratory system due to the disease, due to repeated pneumonia, respiratory failure combined with respirator, several in and out of the intensive care unit and long-term hospitalization after three months of active treatment, she will be transferred to the hospital's respiratory care unit to perform ventilator withdrawal training, with Gordon functional health. The evaluation found that the cases had ventilatory abstinence dysfunction, swallowing dysfunction and anxiety. In the author During the care period, the case is often worried about anxiety due to discomfort during the respirator withdrawal training. The demand is not immediately dealt with and feels helpless. He often cries and wants to be discharged immediately from home. He beats the shaking bed and hopes that the nursing staff will help him for a long time. Accompanying, the engine is intended to support the case problem during the care period, provide emotional adjustment and pulmonary rehabilitation exercise, use the family support system to enhance positive energy, and integrate the care through the team to successfully escape the respirator and plan to return home as soon as possible.