以高级实践护士为主导的过渡期护理在慢性阻塞性肺疾病中的应用进展

The application of advanced practice nurse-led transitional caring in chronic obstructive pulmonary disease

目前,慢性阻塞性肺疾病(COPD)发病率不断上升,因其极高的致死率,致残率,症状负担和功能障碍,且需要持续地用药管理及护理以及增加的再住院率给患者本人及家庭乃至社会带来巨大的经济负担.过渡期护理模式提供了非药物治疗方案来帮助患者安全平稳度过过渡期,提高患者自我护理能力,改善生命质量,降低患者再入院率.本文从过渡期疾病管理为起点,详细阐述了过渡期护理存在的问题和核心要素,并探讨了以高级实践护士为主导的过渡期护理模式在COPD中的应用,为我国提高COPD慢性病管理质量提供理论依据和实践基础.

With the increasing prevalence of chronic obstructive pulmonary disease(COPD)and the extremely high mortality,disability,symptom burden and dysfunction,as well as the need for continuous drug management and care and increased rehospitalization rate,it brings patients,families and even society huge economic burden.The transitional care model provides non-drug treatment method to help patients get through the transition period safely and steadily,it also improves patients'self-care ability,quality of life and reduce hospital readmission.This review will start from the concept of disease management in transitional period,elaborate on the problems and core elements of transitional caring,then discuss the application of advanced practice nurse-dominated transitional caring mode in COPD,so as to provide theoretical and practical basis for improving the quality of chronic diseases management in China.