慢性阻塞性肺疾病急性加重期无创机械通气患者早期肺康复护理进展

Advances in early pulmonary rehabilitation nursing of patients with acute exacerbation of chronic obstructive pulmonary disease by noninvasive mechanical ventilation

早期肺康复在慢性阻塞性肺疾病(COPD)治疗中的效果现在被国内外学者所接受,但是用于无创机械通气的慢性阻塞性肺疾病急性加重(AECOPD)患者研究较少。早期肺康复的概念是患者AECOPD或者AECOPD后从出院后就进行肺康复相关干预。相关研究表明,护士对患者的早期程序化活动起主导作用,并编制出患者能耐受的统一活动表,这样可以为患者提供一个活动计划并保证实施有效,中间要多次评估患者耐受力情况并进行研究,以致于完成患者的早期肺康复。本文列举了早期肺康复在AECOPD无创机械通气患者中的作用以及早期肺康复的重要程度,在呼吸治疗肺康复的团队起到主导作用的是护士,早期肺康复时机、方式,通过研究早期肺康复在使用无创机械通气患者的情况进而展开护理研究综述,并根据目前存在的缺陷做出展望。

The effect of early pulmonary rehabilitation in the treatment of chronic obstructive pulmonary disease(COPD) is now accepted by scholars at home and abroad. However, there have been few studies on patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD) for noninvasive mechanical ventilation. The concept of early pulmonary rehabilitation is that patients with AECOPD or AECOPD undergo pulmonary rehabilitation-related intervention after discharge from hospital. Studies have shown that nurses play a leading role in patients’ early programmed activities, in addition, a unified activity table of patients’ tolerance can be developed, so as to provide an activity plan for patients and ensure effective implementation. Patients’ tolerance should be evaluated and studied for many times in the process, so as to complete the early pulmonary rehabilitation of patients. This paper lists the role of early pulmonary rehabilitation in patients with AECOPD noninvasive mechanical ventilation and the importance of early pulmonary rehabilitation, nurses play a leading role in the treatment team of pulmonary rehabilitation. The timing and mode of early pulmonary rehabilitation are discussed by studying the situation of patients with noninvasive mechanical ventilation in early pulmonary rehabilitation, and then the nursing research review is carried out, and the prospects are made based on the existing defects.